SynthesisJournal of orthopaedic surgery and research2024
Comparison of operatively and nonoperatively treated isolated mason type II radial head fractures: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient-reported outcomes after surgery for isolated radial head fractures: a systematic review.Archives of orthopaedic and trauma surgery · 2026Pooled it
- Radial Head Fractures in Adults: A Narrative Review.Cureus · 2025Review
- Association Between Surgical Timing and Clinical Outcomes in Elbow Fracture Management.Cureus · 2025Article
- Management of Elderly Elbow Fractures.Indian journal of orthopaedics · 2025Review
- Comparative study on complications of screws versus plates for comminuted radial head and neck fractures with two or three fragments.Frontiers in surgery · 2025Article
- Functional Outcomes of Radial Head Fractures Treated With Open Reduction and Internal Fixation (ORIF).Cureus · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundRadial head fractures are the most common bony injury of the elbow in adults. The current literature does not agree on whether isolated stable type II radial head fractures should be treated operatively or nonoperatively. This review aims to determine the preferred treatment for Mason type II radial head fractures and compare the outcomes of conservative and surgical treatment.
methodsOur study used PRISMA guidelines and conducted a thorough search of multiple electronic databases, including PubMed, Cochrane, Embase, Web of Science, CNKI, and Wanfang databases, initially identifying 545 relevant publications on surgical and conservative treatment of Mason type II radial head fractures. The final search date for this study is July 7, 2024.Through a comprehensive meta-analysis, we evaluated several outcomes, including functional scores (DASH, OES, and MEPS scores), clinical outcomes (elbow flexion, elbow extension deficit, elbow pronation, and elbow supination), and complication rate (total complications and elbow pain). The mean difference (MD) was compared for continuous outcomes, and the odds ratios (ORs) were compared for categorical outcomes.
resultA total of 271 patients from 4 studies met the inclusion criteria. Among them, 142 patients received surgical treatment and 129 patients received non-surgical treatment. The study found no statistically significant differences between surgical and non-surgical treatments in DASH, OES, MEPS, elbow flexion, elbow extension impairment, and elbow pain. Compared with surgical treatment, non-surgical treatment was associated with greater elbow pronation (OR = -3.10, 95% CI = [-4.96, -1.25], P = 0.55, I
conclusionBased on the current evidence, conservative management of isolated Mason II radial head fractures yields favorable therapeutic outcomes with a low incidence of complications.
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