Elbow Arthroscopy as a treatment for stiffness post Mason type II radial head fracture

Introduction The majority of radial head fractures may be treated successfully by conservative means and they are often considered a benign injury. However, approximately 25% of Mason type II fractures will not have a good long term result. Pain and stiffness can be a problem and this may be a significant complaint in young active patients with pain at end range of motion. Methods A retrospective review of a single surgeon series of 62 consecutive elbow arthroscopic arthrolyses performed in 62 patients between June 2006 and Sept 2009 was performed. Pre- and post-operative ranges of motion (ROM) were assessed and recorded along with the patient9s DASH score. Patients were kept in overnight and splinted in extension. Splints were removed the following day and AROM exercises were commenced with the physiotherapist. Patients were reviewed and assessed at follow up. Results The majority of patients were male with an average age of 37 years The majority of post-traumatic cases were Mason type II fractures, who had failed conservative treatment. A statistically significant improvement in ROM of was seen following surgery for trauma related stiffness compared to other aetiologies. A improvement was also noted in DASH scores. Conclusions In this series of elbow arthroscopic arthrolyses performed for stiffness following radial head fracture the procedure was a safe and well tolerated with significant improvements seen post-operatively. This may be an effective method of treating patients with painful stiff elbows post radial head fracture.