![]() Common complications following radial head fractures include stiffness, instability, and posttraumatic osteoarthritis as such, these injuries can lead to significant disability in young, active patients if not managed appropriately.ĭas Radiusköpfchen stellt einen wichtigen Stabilisierungsfaktor des Ellenbogengelenks dar. Despite a significant body of literature available on radial head fractures, there is controversy regarding the optimal management of type II, III, and IV fractures, especially in young, active patients. For all of these injuries, assessment and treatment of associated ligamentous injuries are necessary in conjunction with treatment of the bony injury. ![]() Treatment of fractures with an associated elbow dislocation (Mason type IV) is also with ORIF or RHA depending on the degree of comminution. Type III fractures are comminuted and are most often treated with ORIF or with radial head arthroplasty (RHA). Type II fractures, which are displaced 2–5 mm, can be treated nonoperatively or with open reduction and internal fixation (ORIF). Type I fractures are nondisplaced or minimally displaced (less than 2 mm) and are treated nonoperatively with early mobilization. While not perfect, the Mason classification is the most commonly used classification system and can help to guide the management of radial head fractures. Young patients with radial head fractures are more likely to be male and present after a high-energy mechanism of injury. ![]() Radial head fractures are commonly associated with additional injuries to the ligamentous structures of the elbow and can significantly compromise elbow stability. An artificial radius head may be placed to improve the function of the elbow.The radial head is an important stabilizer of the elbow joint. Surgery is considered the compulsory treatment to either fix or to remove the broken pieces of bone, sometimes including the radial head. Type 3 fractures are characterised by multiple broken pieces of bone.Small pieces of bone may be removed if it prevents normal movement of the elbow. During surgery, your doctor will correct the soft-tissue injuries and insert screws and plates to hold the displaced bone together firmly. Type 2 fractures are characterised by displacement of bones and breaking of bones in large pieces and can be treated by surgery.If the crack becomes intense or the fracture gets deep, then your doctor might suggest surgical treatment. The doctor might use a splint (casting) to fix the bone and you might have to wear a sling for a few days. The bone appears cracked, but remains fitted together. Type 1 fractures are usually very small.The treatment of a fracture depends on the type of fracture. Sometimes, your doctor might suggest a CT scan to obtain further details of the fracture, especially the joint surfaces. Your doctor might recommend an X-ray to confirm the fracture and assess displacement of the bone. The symptoms of a radial head fracture include severe pain, swelling in the elbow, difficulty in moving the arm, visible deformity indicating dislocation, bruising and stiffness. Radial head fractures can also occur due to a direct impact on the elbow, a twisting injury, sprain, dislocation or strain. The most common cause of a radius head fracture is breaking a fall with an outstretched arm. Radial head fractures are more common in women than in men and occur more frequently in the age group of 30 and 40 years. Elbow dislocations are generally associated with radial head fractures. Radial head fractures are very common and occur in almost 20% of acute elbow injuries. The injury in the head of the radius causes impairment in the function of the elbow. The head of the radius bone is cup-shaped and corresponds to the spherical surface of the humerus. The elbow joint is essential for the movement of your arms and to perform daily activities. The elbow joint is made up of 3 bones namely the humerus bone in the upper arm which joins with the radius and ulna bones in the forearm. The elbow is a junction between the forearm and the upper arm. ![]()
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