ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1680368
This article is part of the Research TopicSurgical Advances in Orthopedic Trauma: A Biomechanical ApproachView all 12 articles
Arthroscopic Reduction with non-Fixation for Broberg & Morrey Type II Radial Head Fracture with Mechanical Rotation Block: A Propensity Score-matched Case-control Study
Provisionally accepted
- 1Department of Orthopedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
- 2Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China
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Aims: To evaluate arthroscopic reduction without fixation (ARnF) for Broberg & Morrey Type II radial head fractures presenting with a mechanical block to forearm rotation. Methods: We reviewed 11 patients with Broberg & Morrey Type II radial head fractures and a mechanical rotation block treated with ARnF. Clinical outcomes included elbow range of motion (ROM), the American Shoulder and Elbow Surgeons (ASES) score, and the Disabilities of the Arm, Shoulder and Hand (DASH) score. Outcomes were compared with those of patients who underwent arthroscopic reduction and internal fixation (ARIF) using cannulated screws at 6 weeks, 12 weeks, and 1 year postoperatively. Results: Eleven patients were included (7 male; mean age 33.6 years). All showed significant postoperative improvement. At each follow-up, mean ROM and both functional scores (ASES and DASH) in the ARnF group were comparable to those in the ARIF cohort. Conclusion: or Broberg & Morrey Type II radial head fractures with a mechanical rotation block, ARnF achieved outcomes comparable to ARIF while avoiding implant costs and implant-related risks.
Keywords: radial head fracture, Arthroscopic reduction, mechanical block, Broberg & Morrey classification, Randomzied Controlled Trials
Received: 05 Aug 2025; Accepted: 27 Aug 2025.
Copyright: © 2025 Wang, Yu, Jian and Lu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Ding Jian, Department of Orthopedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
Shengdi Lu, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China
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