AI Article Synopsis
- The study aimed to assess clinical outcomes of isolated capitellar fractures through a systematic review of existing medical reports.
- A total of 28 studies involving 174 patients were included, with findings indicating that these fractures are more common in women and typically occur in the nondominant arm.
- Both nonoperative and operative treatments resulted in satisfactory outcomes, with no significant differences in recovery between the two management strategies.
Article Abstract
Purpose: This study was conducted to evaluate reports of clinical outcomes of isolated capitellar fractures.
Materials And Methods: We conducted a systematic review of medical databases reporting clinical outcomes of patients undergoing nonoperative and operative management of isolated capitellar fractures.
Results: We identified 28 studies for inclusion comprising 174 patients. All included studies were level IV evidence. Capitellar fractures were more common among women than men and were more likely to involve the nondominant arm. Type I fractures (84%) were more common than type II (14%) and III fractures (2%). Operative and nonoperative management both led to satisfactory clinical outcomes. No significant difference in outcomes was observed in those undergoing operative management compared with those undergoing closed reduction and immobilization.
Conclusions: Nonoperative and operative management of isolated capitellar fractures leads to satisfactory clinical outcomes as determined by postoperative range of motion, improvement in pain, and a return to previous levels of function. No statistical difference in outcomes was observed between those undergoing operative management compared with those treated with closed reduction and immobilization.
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| http://dx.doi.org/10.1016/j.jse.2012.03.008 | DOI Listing |
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