Typical symptoms of a radial head fracture are elbow pain and swelling on the outside. This in turn significantly impacts aftercare and healing.
In the case of complex fractures, the orthopaedist can expect capsule or ligament injuries. The radial head fracture is seldom caused by falling onto or hitting the elbow directly. The fracture is caused by falling onto the hand with the arm straight or slightly bent. This injury is the most common elbow joint fracture in adults. © Gelenk-KlinikĪ radial head fracture is a fracture in the section of the radius near the elbow. The three bones are surrounded by a common joint capsule. The complex elbow joint is made up of three bones: The humerus is connected to the ulna and radial head of the forearm.
Therapy is recommended and loading of pressure on the elbow is restricted for the first six weeks to allow for solid ligament healing following the reconstruction of the radial head replacement. In general, the patients regain excellent functional recovery following radial head arthroplasty. These devices replace the functional radial head and preserve the length in a functional rotation. This is particularly a case when there has been severe fracture and dislocation of the entire elbow (3A, B, C). When the fracture has involved multiple fragments that cannot be restored with internal fixation devices such as screws, it is necessary to perform a replacement of the radial head. Severe Complex Fracture of the Radial Head: In general, patients regain excellent, functional recovery. Therapy is essential in order to regain motion strength. Lifting or loading with the elbow using weights more than 1 to 2 pounds is prohibited for the first six weeks in order to allow for the fracture to heal before pressure is applied. This is important in order to salvage the radial head to maintain the normal anatomy.Īfter surgery, early therapy is recommended to begin range of motion exercises. Small, headless screws can stay as a permanent implant. Open reduction and internal fixation, as outpatient surgery is essential in order to restore the alignment and stabilization. This will preserve elbow motion and prevent arthritis. The goal of treatment is to try to restore the patients’ ulnar radial head. Displaced Intra-Articular Fractures of the Radial Head: Patients are cautioned not to do any lifting heavier than 5 pounds, until the fracture has substantially healed in six weeks. Early therapy is recommended to regain motion. This often provides an immediate improvement in motion and relief of pain. In the office, with local anesthetic and x-ray guidance, it is possible to remove the blood referred towards the hematoma. In these cases, it is important to remove the blood from the elbow joint that is blocking motion, as this will cause severe stiffness. How do we treat Radial Head and Neck Fractures? 1.
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