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Fractures of the Radial Head and Neck: Current Concepts in Management

Dr. Tejwani is Associate Professor, Department of Orthopaedics, NYU–Hospital for Joint Diseases, New York, NY. Dr. Mehta is Trauma Fellow, Department of Orthopaedics, NYU–Hospital for Joint Diseases.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Tejwani and Dr. Mehta.

Reprint requests: Dr. Tejwani, 550 First Avenue, NBV 21W 37, New York, NY 10016.

Despite advances in surgical techniques, fractures of the radial head are challenging to manage. Most radial head fractures can be managed nonsurgically, with emphasis on early motion to achieve good results. Treatment of more complex radial head fractures, however, especially those associated with elbow instability, remains controversial. The choice for such injury is between open reduction and internal fixation and arthroplasty. Modern implants and techniques have led to improvements in both of these technically demanding procedures. With proper care and understanding of the mechanism of elbow function, better long-term results can be achieved. The current literature suggests that the Mason classification guides choice of the best treatment modality to achieve optimal long-term function. Fracture complexity also should be used as a guide when selecting treatment, and proper surgical technique is critical for success.

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				E. Laugharne and K. Porter Fractures of the radial head and neck Trauma, October 1, 2009; 11(4): 249 - 258. [Abstract] [PDF]