Radial head fracture

Case contributed by Dr Mostafa El-Feky

Presentation

Fall on left forearm by slipping on wet floor one week ago. Left elbow swelling and tenderness. Restricted pronation and supination.

Patient Data

Age: 35 years
Gender: Male
X-ray

A thin vertical lucent line along the radial head on frontal view ? radial head fracture.

CT

Undisplaced vertical fracture involving the medial part of head of the radius with intra-articular extension. No elbow effusion.  

Case Discussion

CT clearly shows radial head marginal undisplaced vertical fracture with intra-articular extension. Radial head fractures can be occult or hardly seen on plain radiographs. This is considered a type I fracture according to Mason classification of radial head fractures. Conservative treatment is recommended for this fracture type as there is no displaced fragment. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.