Most patients are able to bend fairly well but getting the elbow completely straight is often troublesome. The primary long term problem that develops after surgery is stiffness of the elbow joint.
#NON DISPLACED RADIAL HEAD FRACTURE FULL#
Most patients recover fully with only minor limitation of function, but full recovery can take 3-6 months. After surgery, the arm is placed in a soft case for about 2 weeks and then therapy is initiated to regain function. This procedure is done as an outpatient procedure, similar to open reduction and internal fixation.
Radial head arthroplasty involves replacing the fractured radial head with an artificial radial head. Patients are immobilized in a splint for a brief period of time post-operatively. This surgery may be done as an outpatient. If the fragments are large and the bone quality is good, primary repair of the fracture with small plates and screws may be successful. In fractures that are displaced or unstable, either open reduction and internal fixation or radial head arthroplasty will be indicated. Physical therapy is not typically necessary as the vast majority of patients regain motion and function spontaneously over a 6-8 week period. Most of these are treated with non-operative consisting of a sling and or splint for the first 7-10 days and then gradual resumption of activities after the splint is removed. They range from non-displaced cracks in the bone, to widely displaced fractures with an unstable joint. Fractures of the radial head occur during falls onto an outstretched arm.
The upper part of the radius forms a little spool that allows rotation of the forearm at the elbow. The upper end of the ulna is called the olecranon. The forearm has two long bones, the ulna and the radius.
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