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Capitellar Erosion Caused by a Metal Radial Head ProsthesisA Case Report
Roger P. Van Riet, MD1; Francis Van Glabbeek, MD1; Olivier Verborgt, MD, PhD1; Jan Gielen, MD, PhD1
1 Departments of Orthopaedics and Traumatology (R.P.v.R., F.V.G., and O.V.), and Radiology (J.G.), University Hospital Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium. E-mail address for R.P. van Riet: roger.van.riet@uza.be
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Department of Orthopaedics and Traumatology and the Department of Radiology, University Hospital Antwerp, Edegem, Belgium

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 May 01;86(5):1061-1064
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Extract

The long-term results of resection of the radial head for the treatment of a simple radial head fracture have been generally satisfactory1-5. However, some late complications, such as proximal migration of the radius, can disable the patient and are difficult to treat. Proximal migration of the radius is usually asymptomatic3-5, although wrist pain develops in a minority of patients3-8. The options for treatment are limited, and clinical studies have shown poor and unreliable results9,10. Sowa et al. described a case in which a silicone radial head prosthesis was implanted for the treatment of wrist symptoms10. Proximal migration of the radius progressed, and it was concluded that a more rigid implant would be necessary. Sellman et al. reached a similar conclusion after performing a biomechanical study of this problem11.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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