Assessment of Elbow Function in Fracture Head Radius

Original article


Mohamed Saad Ambarek, Mustafa Elfadly

Department of Orthopedics, Faculty of Medicine, Garyounis University

JMJ Vol. 1, No. 2 (November 2001): 50-53


Fracture head of radius management has long been a controversial subject. Disagreement has centred around four main points: The indication for non-operative and operative treatment; The period of immobilization; The need for aspiration of the joint and the timing of radial head excision, if indicated.
The aim of this work is to evaluate the elbow function and incidence of complications, comparing results of different options of treatment.
Seventy – six (76) adult patients with fracture of the radial head were reported from the casualty of AL-JALA Hospital in Benghazi.
Assessment of this cases both clinically and radiologicaly in the follow up clinic showed that the functional end-result in the conservatively treated patients were better than in those operatively treated. Undisplaced fractures were better treated by sling and early motion. Displaced non-comminuted radial head fractures were better treated by immobilization in plaster of Paris cast for three weeks. . Operative excision of the radial head is indicated only in comminuted fractures. Early treatment gave better results in either conservative or operative methods of treatment.

Keywords: Fracture head radius, conservative treatment, operative treatment