Radial Head Fractures
- 30 Downloads
Radial head fractures are extremely common but remain a challenging fracture to treat for orthopedic surgeons. They typically have associated soft tissue and osseous injuries that should not go unnoticed. The role of the radial head in elbow stability is of paramount importance in treatment. Knowledge of the complex anatomy of the elbow is key to treating these injuries. Appropriate workup includes a complete physical exam and imaging studies, including both x-rays and CT scans if necessary. The modified Mason classification can help guide treatment and is based on imaging and physical exam findings. Nondisplaced fractures with no mechanical block to motion can be treated nonoperatively with emphasis on early motion to prevent stiffness. Displaced fractures, those with mechanical block to motion or associated injuries, are treated surgically. Displaced fractures with three or less fragments have good results with open reduction and internal fixation. Fractures with greater than three fragments do better with radial head replacement than fixation. Fragment excision and radial head resection are treatment options that have a limited indication. Choosing the appropriate treatment can lead to the best patient outcomes.
KeywordsRadial head Fracture Arthroplasty Mason classification
- 4.Greenspan A. Orthopedic imaging. 1st ed. Philadelphia: Wolters Kluwer/Lippincott, Williams & Wilkins; 2011.Google Scholar
- 8.Broberg M, Morrey B. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res. 1987;(216):109–19.Google Scholar
- 18.Eygendaal D. Radial head fractures. In: Pederzini L, Eygendaal D, Denti M, editors. Elbow and sport. Berlin, Heidelberg: Springer; 2016.Google Scholar
- 19.Barco R, Ballesteros JR, Llusá M, Antuña S. Applied anatomy and surgical approaches to the elbow. In: Antuña S, Barco R, editors. Essentials in elbow surgery. London: Springer; 2014.Google Scholar