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Radial Head/Neck Fracture
Andrew Sonin, MD, FACR
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Synonyms

            • Lateral column injury of elbow

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      • Reporting Tips

                                        Selected References

                                        1. Little KJ: Elbow fractures and dislocations. Orthop Clin North Am. 45(3):327-40, 2014
                                        2. Wang ML et al: Management of radial head fracture with elbow dislocation. J Hand Surg Am. 40(4):813-6, 2014
                                        3. Duckworth AD et al: Fractures of the radial head. Bone Joint J. 95-B(2):151-9, 2013
                                        4. Fowler JR et al: Radial head fractures: indications and outcomes for radial head arthroplasty. Orthop Clin North Am. 44(3):425-31, x, 2013
                                        5. Rhyou IH et al: Collateral ligament injury in the displaced radial head and neck fracture: correlation with fracture morphology and management strategy to the torn ulnar collateral ligament. J Shoulder Elbow Surg. 22(2):261-7, 2013
                                        6. Ruchelsman DE et al: Fractures of the radial head and neck. J Bone Joint Surg Am. 95(5):469-78, 2013
                                        7. Thomason K et al: The sequelae of a missed Essex-Lopresti lesion. Strategies Trauma Limb Reconstr. 8(1):57-61, 2013
                                        8. Dodds SD et al: Essex-lopresti injuries. Hand Clin. 24(1):125-37, 2008
                                        9. Pring ME: Pediatric radial neck fractures: when and how to fix. J Pediatr Orthop. 32 Suppl 1:S14-21, 2012
                                        10. Rosenblatt Y et al: Current recommendations for the treatment of radial head fractures. Orthop Clin North Am. 39(2):173-85, vi, 2008
                                        11. Charalambous CP et al: Comminuted radial head fractures: aspects of current management. J Shoulder Elbow Surg. 20(6):996-1007, 2011
                                        12. Jackson JD et al: Radial head fractures. Hand Clin. 23(2):185-93, vi, 2007
                                        13. Tejwani NC et al: Fractures of the radial head and neck: current concepts in management. J Am Acad Orthop Surg. 15(7):380-7, 2007
                                        14. Auyeung J et al: The Essex-Lopresti lesion: a variant with a bony distal radioulnar joint injury. J Hand Surg [Br]. 31(2):206-7, 2006
                                        15. Bano KY et al: Radial head fractures--advanced techniques in surgical management and rehabilitation. J Hand Ther. 19(2):114-35, 2006
                                        16. Cunningham PM: MR imaging of trauma: elbow and wrist. Semin Musculoskelet Radiol. 10(4):284-92, 2006
                                        17. Roidis NT et al: Current concepts and controversies in the management of radial head fractures. Orthopedics. 29(10):904-16; quiz 917-8, 2006
                                        18. Itamura J et al: Radial head fractures: MRI evaluation of associated injuries. J Shoulder Elbow Surg. 14(4):421-4, 2005
                                        19. Hotchkiss RN: Displaced fractures of the radial head: internal fixation or excision? J Am Acad Orthop Surg. 5(1):1-10, 1997
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Imaging

                                          • Pathology

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Lateral column injury of elbow

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Staging, Grading, & Classification

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          • Image Interpretation Pearls

                                                                            • Reporting Tips

                                                                              Selected References

                                                                              1. Little KJ: Elbow fractures and dislocations. Orthop Clin North Am. 45(3):327-40, 2014
                                                                              2. Wang ML et al: Management of radial head fracture with elbow dislocation. J Hand Surg Am. 40(4):813-6, 2014
                                                                              3. Duckworth AD et al: Fractures of the radial head. Bone Joint J. 95-B(2):151-9, 2013
                                                                              4. Fowler JR et al: Radial head fractures: indications and outcomes for radial head arthroplasty. Orthop Clin North Am. 44(3):425-31, x, 2013
                                                                              5. Rhyou IH et al: Collateral ligament injury in the displaced radial head and neck fracture: correlation with fracture morphology and management strategy to the torn ulnar collateral ligament. J Shoulder Elbow Surg. 22(2):261-7, 2013
                                                                              6. Ruchelsman DE et al: Fractures of the radial head and neck. J Bone Joint Surg Am. 95(5):469-78, 2013
                                                                              7. Thomason K et al: The sequelae of a missed Essex-Lopresti lesion. Strategies Trauma Limb Reconstr. 8(1):57-61, 2013
                                                                              8. Dodds SD et al: Essex-lopresti injuries. Hand Clin. 24(1):125-37, 2008
                                                                              9. Pring ME: Pediatric radial neck fractures: when and how to fix. J Pediatr Orthop. 32 Suppl 1:S14-21, 2012
                                                                              10. Rosenblatt Y et al: Current recommendations for the treatment of radial head fractures. Orthop Clin North Am. 39(2):173-85, vi, 2008
                                                                              11. Charalambous CP et al: Comminuted radial head fractures: aspects of current management. J Shoulder Elbow Surg. 20(6):996-1007, 2011
                                                                              12. Jackson JD et al: Radial head fractures. Hand Clin. 23(2):185-93, vi, 2007
                                                                              13. Tejwani NC et al: Fractures of the radial head and neck: current concepts in management. J Am Acad Orthop Surg. 15(7):380-7, 2007
                                                                              14. Auyeung J et al: The Essex-Lopresti lesion: a variant with a bony distal radioulnar joint injury. J Hand Surg [Br]. 31(2):206-7, 2006
                                                                              15. Bano KY et al: Radial head fractures--advanced techniques in surgical management and rehabilitation. J Hand Ther. 19(2):114-35, 2006
                                                                              16. Cunningham PM: MR imaging of trauma: elbow and wrist. Semin Musculoskelet Radiol. 10(4):284-92, 2006
                                                                              17. Roidis NT et al: Current concepts and controversies in the management of radial head fractures. Orthopedics. 29(10):904-16; quiz 917-8, 2006
                                                                              18. Itamura J et al: Radial head fractures: MRI evaluation of associated injuries. J Shoulder Elbow Surg. 14(4):421-4, 2005
                                                                              19. Hotchkiss RN: Displaced fractures of the radial head: internal fixation or excision? J Am Acad Orthop Surg. 5(1):1-10, 1997