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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
AN UPDATE ON ELBOW JOINT
Minerva Ortopedica e Traumatologica 2008 February;59(1):49-60
Radial head fracture management: current concepts and controversies
Grant S., Sharma H.
Department of Trauma and Orthopedic Surgery Hairmyres Hospital, Glasgow, UK
Radial head fractures are the most common fracture in the skeletally mature elbow, occurring most frequently in middle age, more commonly in females and secondary to a fall onto the outstretched hand with pronated forearm and partially flexed elbow. The treatment of undisplaced, minimally displaced and displaced fractures with preservation of forearm rotatory motions is established with nonoperative means and early active movement. The treatment of comminuted radial head fractures remains controversial. Resection, reconstruction and replacement are the three mainstay of treatment for such fractures, which are chosen according to the merits of the individual case. This review describes the management dilemmas, current controversies and concepts on the variety of fractures of the radial head.