Radial head fracture
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At the time the case was submitted for publication Antonio Rodrigues de Aguiar Neto had no recorded disclosures.View Antonio Rodrigues de Aguiar Neto's current disclosures
The patient was admitted to the ER, reporting a fall from the bike on the same day, complaining of pain in his elbow and left wrist.
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A vertical fracture line extending through the radial head's articular surface, with less than a 2 mm gap.
No other fracture was detected. The alignment of the elbow is intact.
Impression: Non-displaced intra-articular fracture of the radial head, consistent with a Mason type I fracture.
5 case questions available
Radial head fractures are a common type of elbow injury in adults 1-4. They usually occur during a fall on an outstretched arm with the forearm pronated and discrete flexion of the elbow joint 1-4. CT scan helps identify the location and size, number, morphology, articulate margin, fracture gap, and associated bone fractures and distinguishes the type of fracture in Mason classification 1-4. Radiologists should adopt the same terminology and classification systems used by orthopedic surgeons to enhance communication 1.
This case is a typical example of a non-displaced fracture of the radial head - Mason type 1, in which, in general, the treatment is conservative.
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- 2. Bonnevialle N. Radial head replacement in adults with recent fractures. (2016) Orthopaedics & traumatology, surgery & research : OTSR. 102 (1 Suppl): S69-79. doi:10.1016/j.otsr.2015.06.026 - Pubmed
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- 4. Radial head fractures. (2020) British Journal of Hospital Medicine. doi:10.12968/hmed.2019.0404