Radial head fractures

2020 ◽  
Vol 81 (4) ◽  
pp. 1-6
Author(s):  
Haseeb Khawar ◽  
Simon Craxford ◽  
Benjamin Ollivere
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Plain Radiograph ◽  
Elbow Dislocation ◽  
Adequate Treatment ◽  
Radial Head Fractures ◽  
Surgical Fixation ◽  
Displaced Fracture ◽  
Elbow Motion

Radial head fractures are a common fracture involving the elbow joint. Patients typically present after a fall onto an outstretched hand with elbow pain and swelling. Without adequate treatment, this can lead to long-term complications, including loss of elbow motion and pain. Radial head fractures may also be associated with other injuries including elbow dislocation, neighbouring bony fractures and associated ligamentous rupture. It is therefore imperative that hospital clinicians understand the diagnosis and treatment of this condition. The plain radiograph is the optimum method to diagnose a radial head fracture. These fractures can be managed using a variety of techniques, from non-surgical conservative methods for the undisplaced fracture through to surgical fixation, radial head replacement and excision for the more complex, displaced fracture.

scholarly journals Compartment syndrome of the forearm following moderately displaced fracture of the radial head in a 10-year-old child

2017 ◽  
Vol 5 (12) ◽  
pp. 5459
Author(s):  
Wazir Fahad Jan ◽  
Alamgir Jahan ◽  
Mohd Yahya Dar ◽  
Umar Mushtaq Khan
Keyword(s):  
Compartment Syndrome ◽  
Functional Recovery ◽  
Radial Head ◽  
Open Reduction ◽  
Radial Head Fracture ◽  
Rare Complication ◽  
Postoperative Outcome ◽  
Radial Head Fractures ◽  
Displaced Fracture

Compartment syndrome of the forearm is a rare complication of radial head fractures. We report the unsual case of a 10-year-old child who developed acute volar compartment syndrome of the forearm following a moderately displaced fracture of the radial head. The patient underwent volar fasciotomy of the forearm and open reduction of the radial head fracture with Krishner wire. Due to timely intervention the patient had a good postoperative outcome and is expected to have a good functional recovery. 

scholarly journals Bilateral Elbow Dislocation with Radial Head Fractures in a 33 Year Male – A Rare Case Report

2020 ◽  
pp. 100-106
Author(s):  
A. Raviraj ◽  
Vidyasagar Maalepati ◽  
K. Abhishek Sugumar ◽  
Vivek Kumar N. Savsani ◽  
Viresh B. Murgodi ◽  
...  
Keyword(s):  
Radial Head ◽  
Rare Case ◽  
Road Traffic ◽  
Radial Head Fracture ◽  
Elbow Dislocation ◽  
Radial Head Fractures ◽  
Left Elbow ◽  
Radial Neck Fracture ◽  
Neck Fracture ◽  
The Right

The authors report a rare case of bilateral elbow dislocation with associated radial head fractures in a 33 year male who presented to our hospital following a road traffic accident. The elbow dislocations were reduced in the emergency room, the left radial head fracture was treated conservatively in an above elbow slab for four weeks and the right radial head and neck fracture was treated operatively with Herbert screw fixation for the radial head fracture and buttress plating for the radial neck fracture. At six months follow-up, the patient was pain free and had functional range of flexion and extension of both elbows with pronation and supination of the right elbow up to 50° and 40° and that of the left elbow up to 60° and 45° respectively.

scholarly journals Complex Elbow Dislocations and the “Terrible Triad” Injury

2017 ◽  
Vol 11 (1) ◽  
pp. 1394-1404 ◽  
Author(s):  
Alistair D.R. Jones ◽  
Robert W. Jordan
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Significant Risk ◽  
Case Series ◽  
Anterior Dislocation ◽  
Current Evidence ◽  
Rotational Instability ◽  
Terrible Triad ◽  
Radial Head Fractures

Background:The elbow is the second most commonly dislocated joint in adults and up to 20% of dislocations are associated with a fracture. These injuries can be categorised into groups according to their mechanism and the structures injured.Methods:This review includes a literature search of the current evidence and personal experiences of the authors in managing these injuries.Results:All injuries are initially managed with closed reduction of the ulno-humeral joint and splinting before clinical examination and radiological evaluation. Dislocations with radial head fractures should be treated by restoring stability, with treatment choice depending on the type and size of radial head fracture. Terrible triad injuries necessitate operative treatment in almost all cases. Traditionally the LCL, MCL, coronoid and radial head were reconstructed, but there is recent evidence to support repairing of the coronoid and MCL only if the elbow is unstable after reconstruction of lateral structures. Surgical treatment of terrible triad injuries carries a high risk of complications with an average reoperation rate of 22%. Varus posteromedial rotational instability fracture-dislocations have only recently been described as having the potential to cause severe long-term problems. Cadaveric studies have reinforced the need to obtain post-reduction CT scans as the size of the coronoid fragment influences the long-term stability of the elbow. Anterior dislocation with olecranon fracture has the same treatment aims as other complex dislocations with the added need to restore the extensor mechanism.Conclusion:Complex elbow dislocations are injuries with significant risk of long-term disability. There are several case-series in the literature but few studies with sufficient patient numbers to provide evidence over level IV.

RADIAL HEAD FRACTURE ASSOCIATED WITH ELBOW DISLOCATION

Orthopedics ◽  
1992 ◽  
Vol 15 (7) ◽  
pp. 874-877
Author(s):  
William B Geissler ◽  
Alan E Freeland
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Elbow Dislocation

INTERNAL FIXATION OF RADIAL HEAD FRACTURES WITH AN INTRAMEDULLARY NAIL

2013 ◽  
Vol 25 (01) ◽  
pp. 1350007
Author(s):  
Matija Krkovic ◽  
Miha Brojan ◽  
David Bombac ◽  
Dejan Hermann
Keyword(s):  
Intramedullary Nail ◽  
Radial Head ◽  
Radial Head Fracture ◽  
Vascular Supply ◽  
General Idea ◽  
Stable Fixation ◽  
Radial Head Fractures ◽  
Design And Manufacturing ◽  
Comminuted Fractures ◽  
Thin Walled

Comminuted fractures of the radial head still present significant technical and surgical challenges. In this article, we describe a novel fixation of comminuted radial head fractures with the help of an intramedullary nail. Experiments with solid, conventionally machined intramedullary nails showed some major drawbacks in the fixation of radial head fractures. Several design and manufacturing procedures were proposed. The general idea behind the new design was the concept of a nail which would eliminate the need for prefabricated bores. Experiments with a selective laser sintered thin-walled nail, designed with the help of CT images, fulfilled expectations. This thin-walled proximal radius nail thus offers a stable fixation of the radial head fracture fragments, with the ability to preserve the existing vascular supply to the radial head fragments, and therefore not just use the reconstructed radial head as a bioprosthesis.

Treatment of Mason Type II Radial Head Fractures Without Associated Fractures or Elbow Dislocation: A Systematic Review

2012 ◽  
Vol 37 (7) ◽  
pp. 1416-1421 ◽  
Author(s):  
Laurens Kaas ◽  
Peter A.A. Struijs ◽  
David Ring ◽  
C. Niek van Dijk ◽  
Denise Eygendaal
Keyword(s):  
Systematic Review ◽  
Radial Head ◽  
Elbow Dislocation ◽  
Type Ii ◽  
Radial Head Fractures

scholarly journals Retrospective cohort study on radial head arthroplasty comparing long-term outcomes between valgus type injury and fracture dislocation

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Alvin Chao-Yu Chen ◽  
Chun-Jui Weng ◽  
Chih-Hao Chiu ◽  
Shih-Sheng Chang ◽  
Chun-Ying Cheng ◽  
...  
Keyword(s):  
Radial Head ◽  
Fracture Dislocation ◽  
Long Term Outcomes ◽  
Periprosthetic Osteolysis ◽  
Radial Head Fractures ◽  
Radial Head Arthroplasty ◽  
Injury Group ◽  
Motion Range

Abstract Background Radial head arthroplasty (RHA) has been commonly adopted for irreparable radial head fractures while little information is addressed on valgus type injury. The purpose of this study is to report long-term outcomes and radiographic analysis in RHA for valgus type injury with comparison to fracture dislocation injury. Methods A retrospective cohort study was conducted in patients receiving unilateral RHA with loose-fit, modular metal prosthesis for irreparable radial head fractures between 2004 and 2012. Totally, 33 patients with a mean follow up of 9 years (range, 7 to 15 years) were enrolled and divided into two groups including 14 valgus injuries and 19 fracture-dislocations. Demographics of the patients, injury details, clinical and radiographic outcomes, and correlation analysis were investigated and compared between two groups. Results In patient demographics, significant difference was noted in sex distribution (p = 0.001), lateral collateral ligament involvement (p = 0.000) and time from injury to RHA (p = 0.031) between two groups. No patient underwent subsequent removal or revision of prosthesis. Good to excellent results according to Mayo Elbow Performance Score (MEPS) was achieved in 13 and 14 patients in group A and B respectively. Final motion range and Disabilities of the Arm, Shoulder, and Hand score was significantly better in valgus injury group. Radiographic analysis demonstrated fewer patients in valgus injury group presented periprosthetic osteolysis with weak to moderate negative correlation between radiolucency score and MEPS. Conclusions With an average of 9 years follow-up, RHA using loose-fit, modular metal prosthesis achieves encouraging outcomes for both valgus injury and fracture dislocation. In valgus type injury, better motion range, lower disability score and lower incidence of periprosthetic osteolysis is noted while correlation analysis of radiolucency score suggests extended, long-term investigation.

Elbow Dislocation Combined with Coronoid Process and Radial Head Fracture

2005 ◽  
Vol 18 (4) ◽  
pp. 437
Author(s):  
Sung Tae Lee ◽  
Jin Hyung Choi ◽  
Joong Bae Seo ◽  
Jin Young Park
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Elbow Dislocation ◽  
Coronoid Process
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