PMID- 37602006
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230823
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 7
DP  - 2023 Jul
TI  - Non-operative Treatment of Mason Type I Radial Head Fractures: A Comparative 
      Analysis Using Patient-Reported Outcomes Measurement Information System (PROMIS).
PG  - e42056
LID - 10.7759/cureus.42056 [doi]
LID - e42056
AB  - OBJECTIVES: The purpose of this study is to compare the outcomes of Mason type I 
      radial head fractures. This information will help to provide physicians with a 
      critical decision-making tool when considering non-operative intervention and 
      evaluate Patient-Reported Outcomes Measurement Information System (PROMIS) as a 
      potentially valuable measure to track outcomes. METHODS: We retrospectively 
      identified 527 patients undergoing non-operative intervention. Demographic 
      information, physical exam measurements, patient acceptable symptom state (PASS), 
      and PROMIS Upper Extremity (UE), Physical Function (PF), and Pain Interference 
      (PI) scores were analyzed over 12 months. RESULTS: At the initial outpatient 
      post-injury visit (within one week of injury), the average PROMIS PF, UE, PI, and 
      Depression were 42.04 (SD: 6.3), 35.31 (SD: 7.3), 59.18 (SD: 9.2), and 48.68 (SD: 
      6.8), respectively. The average change in PROMIS PF, UE, PI, and Depression 
      scores from the time of injury to six weeks were -0.23 (p=0.7), 1.43 (p=0.03), 
      -2.1 (p=0.01), and -0.99 (p=0.1). The average change in PROMIS PF, UE, PI, and 
      Depression scores from the time of injury to six months was -0.56 (p=0.56), 1.84 
      (p<0.001), -1.84 (p<0.001), and -0.13 (p=0.68). Among patients initially 
      reporting "not acceptable" on PASS and reporting "acceptable" at the six-month 
      visit, the average PROMIS PF, UE, PI, and Depression scores were 42.14, 38.91, 
      56.91, and 47.51 respectively. This represents an average difference of 1.11 
      (p=0.07), 2.82 (p<0.01), -1.19 (p=0.04), and -1.7 (p=0.01) respectively. 
      CONCLUSION: PROMIS UE and PI significantly improved among Mason I radial head 
      fractures treated non-operatively at both six-week and six-month follow-up points 
      but did not meet the mean clinically important difference (MCID) PROMIS PF did 
      not significantly differ between the time of injury, six-week or six-month 
      follow-up points. Only PROMIS UE correlated with PASS at six-week and six-month 
      follow-up. Among patients who improved from negative to positive responses on 
      PASS, PROMIS UE, and PI significantly improved.
CI  - Copyright (c) 2023, Carroll et al.
FAU - Carroll, Thomas J
AU  - Carroll TJ
AD  - Orthopaedic Surgery, University of Rochester, Rochester, USA.
FAU - Dondapati, Akhil
AU  - Dondapati A
AD  - Orthopaedic Surgery, University of Rochester, Rochester, USA.
FAU - Cruse, Jordan
AU  - Cruse J
AD  - Orthopaedic Surgery, University of Rochester, Rochester, USA.
FAU - Minto, Jonathan
AU  - Minto J
AD  - Orthopaedic Surgery, University of Rochester, Rochester, USA.
FAU - Hammert, Warren C
AU  - Hammert WC
AD  - Orthopaedic Surgery, Duke University, Durham, USA.
FAU - Mahmood, Bilal
AU  - Mahmood B
AD  - Orthopaedic Surgery, University of Rochester, Rochester, USA.
LA  - eng
PT  - Journal Article
DEP - 20230718
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10433034
OTO - NOTNLM
OT  - promis scores
OT  - radial head
OT  - radial head arthroplasty
OT  - radial head fracture
OT  - radial head instability
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/08/21 06:42
MHDA- 2023/08/21 06:43
PMCR- 2023/07/18
CRDT- 2023/08/21 05:09
PHST- 2023/07/17 00:00 [accepted]
PHST- 2023/08/21 06:43 [medline]
PHST- 2023/08/21 06:42 [pubmed]
PHST- 2023/08/21 05:09 [entrez]
PHST- 2023/07/18 00:00 [pmc-release]
AID - 10.7759/cureus.42056 [doi]
PST - epublish
SO  - Cureus. 2023 Jul 18;15(7):e42056. doi: 10.7759/cureus.42056. eCollection 2023 
      Jul.