Radial head fracture - Revision history

Ostermayer at 18:12, 16 January 2026

2026-01-16T18:12:25Z

← Revisión anterior		Revisión del 18:12 16 ene 2026
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	{{~~Adult top}} [[~~radial head fracture (peds)~~]].''~~		{{AdultPage\|radial head fracture (peds)}}
	==Background==		==Background==
	[[File:Gray329.png\|thumb\|Left elbow-joint with anterior and ulnar collateral ligaments]]		[[File:Gray329.png\|thumb\|Left elbow-joint with anterior and ulnar collateral ligaments]]

2023-10-28T20:33:06Z

Management

@@ Línea 42: / Línea 42: @@
 {{General Fracture Management}}
 *Ice, elevation
 ===Immobilization===

2020-06-22T21:53:43Z

← Revisión anterior		Revisión del 21:53 22 jun 2020
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	~~''This page is for adult patients; see~~ [[radial head fracture (peds)]] ~~for pediatric patients~~''		{{Adult top}} [[radial head fracture (peds)]].''
	==Background==		==Background==
	[[File:Gray329.png\|thumb\|Left elbow-joint with anterior and ulnar collateral ligaments]]		[[File:Gray329.png\|thumb\|Left elbow-joint with anterior and ulnar collateral ligaments]]

2020-06-22T21:46:24Z

Diagnosis

← Revisión anterior		Revisión del 21:46 22 jun 2020
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	[[File:RadHeadFracMark.png\|thumb\|Radial head fracture (red arrow) with posterior and anterior sail signs (blue arrows)]]		[[File:RadHeadFracMark.png\|thumb\|Radial head fracture (red arrow) with posterior and anterior sail signs (blue arrows)]]
	[[File:Ant and post fat pad.png\|thumb\|Anterior and posterior fat pad signs (in a case of an undisplaced fracture of the radius head, which is not visible directly).]]		[[File:Ant and post fat pad.png\|thumb\|Anterior and posterior fat pad signs (in a case of an undisplaced fracture of the radius head, which is not visible directly).]]
	*Ensure there is no tenderness over the rest of the forearm/wrist to rule out an [[Essex-Lopresti fracture]]		*Ensure there is no tenderness over the rest of the forearm/wrist, to rule out an [[Essex-Lopresti fracture]]
	*Typically diagnosed on [[elbow X-ray]] (''fractures are often subtle'')		*Typically diagnosed on [[elbow X-ray]] (''fractures are often subtle'')
	**Look for abnormal fat pad		**Look for abnormal fat pad

2020-06-22T21:45:59Z

Workup

← Revisión anterior		Revisión del 21:45 22 jun 2020
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	[[File:RadHeadCTMark.png\|thumb\|Radial head fracture seen on 3D CT reconstruction.]]		[[File:RadHeadCTMark.png\|thumb\|Radial head fracture seen on 3D CT reconstruction.]]
	===Workup===		===Workup===
	*Elbow PA & lateral		*[[Elbow X-ray\|Elbow PA & lateral]]
	*Consider x-rays of humerus, forearm, and wrist (e.g. to rule out a [[Essex-Lopresti fracture]])		*Consider x-rays of humerus, forearm, and wrist (e.g. to rule out a [[Essex-Lopresti fracture]])
	*Consider Greenspan (radial head-capitellum) view X-Ray		*Consider Greenspan (radial head-capitellum) view X-Ray

2020-06-22T21:40:19Z

Associated injuries (are common)

← Revisión anterior		Revisión del 21:40 22 jun 2020
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	*DRUJ (distal radial ulnar joint) injury		*DRUJ (distal radial ulnar joint) injury
	*Interosseous membrane disruption		*Interosseous membrane disruption
	*Essex-Lopresti fracture (radial head fracture, DRUJ, interosseous membrane disruption), requires ORIF		*[[Essex-Lopresti fracture]] (radial head fracture, DRUJ, interosseous membrane disruption), requires ORIF
	*Terrible triad (radial head fracture, coronoid fracture, [[elbow dislocation]])		*Terrible triad (radial head fracture, coronoid fracture, [[elbow dislocation]])

2020-06-22T21:39:59Z

Background

← Revisión anterior		Revisión del 21:39 22 jun 2020
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	==Background==		==Background==
	[[File:Gray329.png\|thumb\|Left elbow-joint with anterior and ulnar collateral ligaments]]		[[File:Gray329.png\|thumb\|Left elbow-joint with anterior and ulnar collateral ligaments]]
	Most common fractures of the elbow, approximately 20% of elbow fractures		*Most common fractures of the elbow, approximately 20% of elbow fractures
	*Caused by FOOSH in pronation leading to radial head being driven into the capitellum		*Caused by FOOSH in pronation leading to radial head being driven into the capitellum

2020-06-16T21:50:46Z

← Revisión anterior		Revisión del 21:50 16 jun 2020
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	==Background==		==Background==
	[[File:Gray329.png\|thumb\|Left elbow-joint with anterior and ulnar collateral ligaments]]		[[File:Gray329.png\|thumb\|Left elbow-joint with anterior and ulnar collateral ligaments]]
	~~[[File:RadHeadCTMark.png\|thumb\|Radial head fracture seen on 3D CT reconstruction.]]~~		Most common fractures of the elbow, approximately 20% of elbow fractures
	*Most common fractures of the elbow, approximately 20% of elbow fractures
	*Caused by FOOSH in pronation leading to radial head being driven into the capitellum		*Caused by FOOSH in pronation leading to radial head being driven into the capitellum

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	==Evaluation==		==Evaluation==
			[[File:RadHeadCTMark.png\|thumb\|Radial head fracture seen on 3D CT reconstruction.]]
	===Workup===		===Workup===
	*Elbow PA & lateral		*Elbow PA & lateral

2020-06-16T21:50:09Z

Background

← Revisión anterior		Revisión del 21:50 16 jun 2020
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	''This page is for adult patients; see [[radial head fracture (peds)]] for pediatric patients''		''This page is for adult patients; see [[radial head fracture (peds)]] for pediatric patients''
	==Background==		==Background==
			[[File:Gray329.png\|thumb\|Left elbow-joint with anterior and ulnar collateral ligaments]]
	[[File:RadHeadCTMark.png\|thumb\|Radial head fracture seen on 3D CT reconstruction.]]		[[File:RadHeadCTMark.png\|thumb\|Radial head fracture seen on 3D CT reconstruction.]]
	*Most common fractures of the elbow, approximately 20% of elbow fractures		*Most common fractures of the elbow, approximately 20% of elbow fractures

2019-09-18T04:15:59Z

Management

← Revisión anterior		Revisión del 04:15 18 sep 2019
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	==Management==		==Management==
	*Sling immobilization in flexion~~, ice, elevation~~		{{General Fracture Management}}
			*Ice, elevation

			===Immobilization===
			*Sling immobilization in flexion
	*Nondisplaced fracture with no mobility restrictions: ortho follow up within 1wk		*Nondisplaced fracture with no mobility restrictions: ortho follow up within 1wk
	*Displaced fracture or mobility restrictions: ortho follow up within 24hr		*Displaced fracture or mobility restrictions: ortho follow up within 24hr