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Stable type 2 radial head fractures may be treated as a type 1 if the displacement is minimal. Unstable type 2 - 4 fractures generally warrant surgery. Surgical correction can include fracture fragment excision, radial head reconstruction, open reduction and internal fixation, and radial head excision with artificial replacement. [6]
A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. [1] Symptoms include pain, bruising, and rapid-onset swelling. [1] The ulna bone may also be broken. [1] In younger people, these fractures typically occur during sports or a motor vehicle collision. [2]
The posterior fat pad is normally pressed in the olecranon fossa by the triceps tendon, and hence invisible on lateral radiograph of the elbow. [3] When there is a fracture of the distal humerus, or other pathology involving the elbow joint, inflammation develops around the synovial membrane forcing the fat pad out of its normal physiologic resting place.
There are four types (depending upon displacement of the radial head): [3] Bado Classification - Monteggia Fractures. I - Extension type (60%) - ulna shaft angulates anteriorly (extends) and radial head dislocates anteriorly. II - Flexion type (15%) - ulna shaft angulates posteriorly (flexes) and radial head dislocates posteriorly.
unstable spinal fracture-dislocation at the thoracolumbar junction: Thoracic Spine Fractures and Dislocations at eMedicine: Hume fracture: A.C. Hume: olecranon fracture with anterior dislocation of radial head: Ronald McRae, Maxx Esser. Practical Fracture Treatment 5th edition, page 187. Elsevier Health Sciences, 2008.
Hume fracture – a fracture of the olecranon with an associated anterior dislocation of the radial head; Radius fracture. Essex-Lopresti fracture – a fracture of the radial head with concomitant dislocation of the distal radio-ulnar joint with disruption of the interosseous membrane [14] Distal radius fracture. Galeazzi fracture – a ...