Skip to main content

Radial Head and Neck Fracture

  • Chapter
  • First Online:
Fracture Reduction and Fixation Techniques

Abstract

Radial head fracture could present as an isolated injury or be part of a combined fracture injury involving the other structures of the elbow joint. The combination of radial head fracture, medial collateral ligament injury and coronoid process fracture comprised the so called ‘terrible triad’ of the elbow. Usually operative intervention   aiming at restoration of movement and joint stability is indicated if the fracture comprises more than 33% of the articular surface, is angulated more than 30°, or is displaced more than 3 mm. In this chapter the issues surrounding the surgical management of radial head fracture are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Duckworth AD, McQueen MM, Ring D. Fractures of the radial head. Bone Joint J. 2013;95-B(2):151–9. https://doi.org/10.1302/0301-620X.95B2.29877. Review. PubMed PMID:23365021

    Article  PubMed  CAS  Google Scholar 

  2. Doornberg JN, Guitton TG, Ring D. Science of Variation Group.. Diagnosis of elbow fracture patterns on radiographs: interobserver reliability and diagnostic accuracy. Clin Orthop Relat Res. 2013;471(4):1373–8. https://doi.org/10.1007/s11999-012-2742-4. Epub 2012 Dec 18. PubMed PMID: 23247817; PubMed Central PMCID: PMC3586040

    Article  PubMed  Google Scholar 

  3. Pugh DM, Wild LM, Schemitsch EH, King GJ, McKee MD. Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. J Bone Joint Surg Am. 2004;86-A(6):1122–30. PubMed PMID: 15173283

    Article  PubMed  Google Scholar 

  4. Ring D, Jupiter JB, Zilberfarb J. Posterior dislocation of the elbow with fractures of the radial head and coronoid. J Bone Joint Surg Am. 2002;84-A(4):547–51. PubMed PMID: 11940613

    Article  PubMed  Google Scholar 

  5. O'Driscoll SW, Jupiter JB, Cohen MS, Ring D, McKee MD. Difficult elbow fractures: pearls and pitfalls. Instr Course Lect. 2003;52:113–34. Review. PubMed PMID: 12690844

    PubMed  Google Scholar 

  6. Guitton TG, Ring D, Science of Variation Group. Interobserver reliability of radial head fracture classification: two-dimensional compared with three-dimensional CT. J Bone Joint Surg Am. 2011;93(21):2015–21. https://doi.org/10.2106/JBJS.J.00711. PubMed PMID: 22048097

    Article  PubMed  Google Scholar 

  7. Guitton TG, van der Werf HJ, Ring D. Quantitative three-dimensional computed tomography measurement of radial head fractures. J Shoulder Elb Surg. 2010;19(7):973–7. https://doi.org/10.1016/j.jse.2010.03.013. Epub 2010 Jun 20. PubMed PMID:20566295

    Article  Google Scholar 

  8. van Leeuwen DH, Guitton TG, Lambers K, Ring D. Quantitative measurement of radial head fracture location. J Shoulder Elb Surg. 2012;21(8):1013–7. https://doi.org/10.1016/j.jse.2011.08.056. Epub 2011 Nov 9. PubMed PMID: 22071412

    Article  Google Scholar 

  9. Smith AM, Morrey BF, Steinmann SP. Low profile fixation of radial head and neck fractures: surgical technique and clinical experience. J Orthop Trauma. 2007;21(10):718–24. PubMed PMID: 17986889

    Article  PubMed  Google Scholar 

  10. Clembosky G, Boretto JG. Open reduction and internal fixation versus prosthetic replacement for complex fractures of the radial head. J Hand Surg Am. 2009;34(6):1120–3. https://doi.org/10.1016/j.jhsa.2008.12.031. Epub 2009 May 28. PubMed PMID: 19481361

    Article  PubMed  Google Scholar 

  11. Hotchkiss RN. Displaced fractures of the radial head: internal fixation or excision? J Am Acad Orthop Surg. 1997;5(1):1–10. PubMed PMID: 10797202

    Article  CAS  PubMed  Google Scholar 

  12. Smith GR, Hotchkiss RN. Radial head and neck fractures: anatomic guidelines for proper placement of internal fixation. J Shoulder Elb Surg. 1996;5(2 Pt 1):113–7. PubMed PMID: 8742874

    Article  CAS  Google Scholar 

  13. Ring D, Quintero J, Jupiter JB. Open reduction and internal fixation of fractures of the radial head. J Bone Joint Surg Am. 2002;84-A(10):1811–5. PubMed PMID: 12377912

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David Ring M.D., Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Hill, A., Ring, D. (2018). Radial Head and Neck Fracture. In: Giannoudis, P. (eds) Fracture Reduction and Fixation Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-68628-8_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-68628-8_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68627-1

  • Online ISBN: 978-3-319-68628-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics