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Radial Head Fracture
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What are the treatments for the injury?
Initial treatment involves first aid using RICE (rest, ice, compression with bandage and/or splint, and elevation). After diagnosis by physical exam and x-rays, most radial head fractures are treated simply with an arm sling. This simple technique usually results in complete recovery in about 6 weeks. Non-steroidal anti-inflammatory drugs, or NSAIDs, can help reduce swelling and pain. For complex or unusually severe radial head fractures, surgery may be necessary. Surgery may involve repair of the radial head, removal of a mashed bone, and sometimes replacement with a metal or plastic spacer.
What are the side effects of the treatments?
NSAIDs may have adverse effects on the stomach, kidneys, or liver.
What happens after treatment for the injury?
Physical therapy may help in regaining motion and strength after injury or operation. If surgery is necessary, infection is always possible.
After the fracture heals, there may be limitation of motion of the elbow and forearm. Also, arthritis of the elbow joint, weakness, or pain may result.
A healthcare provider will watch for progress in restoring range of motion and strength.
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Author: John A.K. Davies, MD Reviewer: Vincent J. Toups, MD Date Reviewed: 05/07/01
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