Radial head volume measurements using quantitative three-dimensional computed tomography images for radial head deformation following missed Monteggia lesions

© 2022 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 7(2023), 6 vom: 16. Nov., Seite 2612-2616
1. Verfasser: Langenberg, Lisette C (VerfasserIn)
Weitere Verfasser: Janssen, Stein J, Eygendaal, Denise
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2023
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Corrective elbow surgery Missed Monteggia Pediatric Monteggia Radial head dislocation Radial head dysplasia Three-dimensional CT analysis
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100 1 |a Langenberg, Lisette C  |e verfasserin  |4 aut 
245 1 0 |a Radial head volume measurements using quantitative three-dimensional computed tomography images for radial head deformation following missed Monteggia lesions 
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520 |a © 2022 The Author(s). 
520 |a Background: In chronic radial head dislocation cases, the radial head may enlarge and become dome-shaped. To date, there is no validated tool to quantify radial head deformation and predict its influence on surgical outcomes. This study assesses the potential value of volume and surface calculations obtained by quantitative three-dimensional computed tomography scanning (Q3DCT) in the workup for a corrective surgery in pediatric patients with missed Monteggia lesions 
520 |a Material and methods: Ten consecutive pediatric patients with a missed Monteggia lesion were included (2012-2020). The volume and articular surface size of the radial head were calculated using Q3DCT, and a three-dimensional reconstruction of the articular surface relief was depicted in a heat map. The head-neck ratio was calculated and compared to Q3DCT data of missed Monteggia patients and their age-/sex-matched controls 
520 |a Results: The radial head volume and radial articular surface size did not differ significantly between patients with missed Monteggia lesions and age-/sex-matched controls (volume 1487 mm3 vs. 1163 mm3, P = .32; articular surface size 282 mm3 vs. 236 mm3, P = .33). Optically, heat maps of the articular surface of missed Monteggia patients did not differ notably from control heat maps. A higher head-neck ratio correlated to a larger radial head volume (Pearson r = 0.73; P = .2) 
520 |a Discussion and conclusion: Q3DCT may be an interesting tool in the preoperative workup of pediatric missed Monteggia lesions. Prospective research with larger cohort sizes and data that compares the affected side to the contralateral elbow is needed to assess its true clinical potential 
650 4 |a Journal Article 
650 4 |a Corrective elbow surgery 
650 4 |a Missed Monteggia 
650 4 |a Pediatric Monteggia 
650 4 |a Radial head dislocation 
650 4 |a Radial head dysplasia 
650 4 |a Three-dimensional CT analysis 
700 1 |a Janssen, Stein J  |e verfasserin  |4 aut 
700 1 |a Eygendaal, Denise  |e verfasserin  |4 aut 
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