Introduction: This study represents an analysis of data collected prospectively over a seven-year period to our trauma unit, to identify the epidemiological background behind the admissions of patients with acute elbow problems and to highlight the impact of these admissions on our trauma service. Method: Nearly 16,000 patients were included in our database. The admissions were initially categorized into A) fractures/dislocations or B) soft tissue trauma. The fractures/dislocations were then further classified by radiographic anatomical location, with data also collected on length of stay and operative management. In total 509 admissions were included in this study; 193 were paediatric cases and 316 were adults. This included 428 admissions with fractures/dislocations and 81 cases of soft tissue trauma. Conclusion: In conclusion, this data allows us to identify relative frequency of acute elbow conditions, including the incidence of common fracture patterns. These figures help to facilitate resource planning, such as expertise amongst personnel or the acquisition of equipment, including radial head replacement, elbow arthroplasty, and periarticular locking plates.
Published in | Journal of Surgery (Volume 8, Issue 6) |
DOI | 10.11648/j.js.20200806.14 |
Page(s) | 190-196 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Elbow Fracture, Epidemiology, Supracondylar Fracture, Paediatric Elbow, Dislocation, Elbow Dislocation, Elbow Trauma
[1] | Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal functional elbow motion. J Bone Jt Surg Am. 1981; 63 (6): 872–7. |
[2] | Lennon RI, Riyat MS, Hilliam R, Anathkrishnan G, Alderson G. Can a normal range of elbow movement predict a normal elbow x ray? Emerg Med J. 2007 Feb; 24 (2): 86–88. |
[3] | Houshian S, Mehdi B, Larsen MS. The epidemiology of elbow fracture in children: analysis of 355 fractures, with special reference to supracondylar humerus fractures. J Orthop Sci. 2001; 6 (4): 312-5. |
[4] | Landin LA, Danielsson LG. Elbow fractures in children. An epidemiological analysis of 589 cases. Acta Orthop Scand. 1986 Aug; 57 (4): 309-12. |
[5] | Wilkins KE. Fractures and dislocations of the elbow region. In: Rockwood CA Jr, Wilkins KE, King RE, editors. Fractures in children. 3rd ed. Philadelphia: JB Lippincott; 1991, p. 526–617. |
[6] | Barr LV. Paediatric supracondylar humeral fractures: epidemiology, mechanisms and incidence during school holidays. J Child Orthop. 2014 Mar; 8 (2): 167–170. |
[7] | Moon RJ, Harvey NC, Curtis EM, de Vries F, van Staa T, Cooper C. Ethnic and geographic variations in the epidemiology of childhood fractures in the United Kingdom. Bone. 2016 Apr; 85: 9–14. |
[8] | Nyted M, Drogset JO. Trampoline injuries. Br J Sports Med. 2006 Dec; 40 (12): 984–987. |
[9] | Ahmad M, Khatri M, Hildreth T, Roysam GS, Nanu AM. Influence of weather conditions in the incidence of admissions in an acute orthopaedic ward in a district general hospital. Orthopaedic Proceedings Mar 2006, 88-B (SUPP I) 171. |
[10] | Kodde IF, Kaas L, Flipsen M, van den Bekerom MPJ, Eygendaal D. Current concepts in the management of radial head fractures World J Orthop. 2015 Dec 18; 6 (11); 954-960. |
[11] | Pauwels F. Biomechanics of the locomotor apparatus: contributions on the functional anatomy of the locomotor apparatus. Berlin: Springer-Verlag; 1980. |
[12] | Schneider MM, Nowak TE, Bastian L, Katthagen JC, Isenberg J, Romens PM et al. Tension band wiring in olecranon fractures: the myth of technical simplicity and osteosynthetical perfection. Int Orthop. 2014 Apr; 38 (4): 847–855. |
[13] | John J, Miller D, Ford DJ, Hay SM, Cool P. Olecranon fractures: Tension band wire or plate fixation? Orthopaedic Proceedings. April 2009. vol. 91-B no. SUPP II 257. |
[14] | Kubiak EN, Fulkerson E, Strauss E, Egol K. The Evolution of Locked Plates. J. Bone Jt Surg. Am. 2006; 88: 189-200. |
[15] | Kuhn MA, Ross G. Acute elbow dislocations. Orthop Clin North Am. 2008; 39: 155–161. |
[16] | de Haan J, Schep NWL, Tuinebreijer WE, Patka P, den Hartog D. Simple elbow dislocations: a systematic review of the literature. Arch Orthop Trauma Surg. 2010 Feb; 130 (2): 241–249. |
[17] | Hackl M, Beyer F, Wegmann K, Leschinger T, Burkhart KJ, Müller LP. The Treatment of Simple Elbow Dislocation in Adults: A Systematic Review and Meta-analysis. Dtsch Arztebl Int. 2015 May; 112 (18): 311–319. |
[18] | Adas M, Bayraktar MK, Tonbul M, Uzun M, Cakar M, Tekin AC et al. The role of simple elbow dislocations in cubitus valgus development in children. Int Orthop. 2014 Apr; 38 (4): 797-802. |
[19] | Sanchez-Sotelo J, Morrey M. Complex elbow instability: surgical management of elbow fracture dislocations. EFORT Open Rev. 2016 May; 1 (5): 183-190. |
[20] | Rasool MN. Dislocations of the elbow in children. J Bone Jt Surg (Br). 2004; 86: 1050-1058. |
[21] | de Haan J, Schep N, Tuinebreijer W, den Harthog D. Complex and Unstable Simple Elbow Dislocations: A Review and Quantitative Analysis of Individual Patient Data. Open Orthop J. 2010; 4: 80-86. |
[22] | Hay S et al. The Provision of Primary and Revision Elbow Replacement Surgery in the NHS. BESS Surgical Procedure Guidelines. Shoulder and Elbow. 2018; 10 (2): S5-S12. |
[23] | Doornberg JN, Guitton TG, Ring D. Diagnosis of Elbow Fracture Patterns on Radiographs: Interobserver Reliability and Diagnostic Accuracy. Clin Orthop Relat Res. 2013 Apr; 471 (4): 1373–1378. |
APA Style
Alex Bolt, Siddharth Govilkar, Caroline Dover, John Blackwell, Stuart Hay. (2020). A 7-year Prospective Epidemiological Study of Acute Elbow Admissions to a Trauma Unit. Journal of Surgery, 8(6), 190-196. https://doi.org/10.11648/j.js.20200806.14
ACS Style
Alex Bolt; Siddharth Govilkar; Caroline Dover; John Blackwell; Stuart Hay. A 7-year Prospective Epidemiological Study of Acute Elbow Admissions to a Trauma Unit. J. Surg. 2020, 8(6), 190-196. doi: 10.11648/j.js.20200806.14
AMA Style
Alex Bolt, Siddharth Govilkar, Caroline Dover, John Blackwell, Stuart Hay. A 7-year Prospective Epidemiological Study of Acute Elbow Admissions to a Trauma Unit. J Surg. 2020;8(6):190-196. doi: 10.11648/j.js.20200806.14
@article{10.11648/j.js.20200806.14, author = {Alex Bolt and Siddharth Govilkar and Caroline Dover and John Blackwell and Stuart Hay}, title = {A 7-year Prospective Epidemiological Study of Acute Elbow Admissions to a Trauma Unit}, journal = {Journal of Surgery}, volume = {8}, number = {6}, pages = {190-196}, doi = {10.11648/j.js.20200806.14}, url = {https://doi.org/10.11648/j.js.20200806.14}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200806.14}, abstract = {Introduction: This study represents an analysis of data collected prospectively over a seven-year period to our trauma unit, to identify the epidemiological background behind the admissions of patients with acute elbow problems and to highlight the impact of these admissions on our trauma service. Method: Nearly 16,000 patients were included in our database. The admissions were initially categorized into A) fractures/dislocations or B) soft tissue trauma. The fractures/dislocations were then further classified by radiographic anatomical location, with data also collected on length of stay and operative management. In total 509 admissions were included in this study; 193 were paediatric cases and 316 were adults. This included 428 admissions with fractures/dislocations and 81 cases of soft tissue trauma. Conclusion: In conclusion, this data allows us to identify relative frequency of acute elbow conditions, including the incidence of common fracture patterns. These figures help to facilitate resource planning, such as expertise amongst personnel or the acquisition of equipment, including radial head replacement, elbow arthroplasty, and periarticular locking plates.}, year = {2020} }
TY - JOUR T1 - A 7-year Prospective Epidemiological Study of Acute Elbow Admissions to a Trauma Unit AU - Alex Bolt AU - Siddharth Govilkar AU - Caroline Dover AU - John Blackwell AU - Stuart Hay Y1 - 2020/11/11 PY - 2020 N1 - https://doi.org/10.11648/j.js.20200806.14 DO - 10.11648/j.js.20200806.14 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 190 EP - 196 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20200806.14 AB - Introduction: This study represents an analysis of data collected prospectively over a seven-year period to our trauma unit, to identify the epidemiological background behind the admissions of patients with acute elbow problems and to highlight the impact of these admissions on our trauma service. Method: Nearly 16,000 patients were included in our database. The admissions were initially categorized into A) fractures/dislocations or B) soft tissue trauma. The fractures/dislocations were then further classified by radiographic anatomical location, with data also collected on length of stay and operative management. In total 509 admissions were included in this study; 193 were paediatric cases and 316 were adults. This included 428 admissions with fractures/dislocations and 81 cases of soft tissue trauma. Conclusion: In conclusion, this data allows us to identify relative frequency of acute elbow conditions, including the incidence of common fracture patterns. These figures help to facilitate resource planning, such as expertise amongst personnel or the acquisition of equipment, including radial head replacement, elbow arthroplasty, and periarticular locking plates. VL - 8 IS - 6 ER -