RADIAL HEAD
Radial head fractures are common and are usually produced
by a fall on the outstretched hand with the elbow extended.
If blood has collected
in the elbow joint (hemarthrosis), it is aspi-rated to relieve pain and to
allow early active elbow and forearm ROM. Immobilization for these undisplaced
fractures is accom-plished with a splint. The patient is instructed not to lift
with the arm for approximately 4 weeks. If the fracture is displaced, surgery
is required, with excision of the radial head when necessary. Post-operatively,
the arm is immobilized in a posterior plaster splint and sling. The patient is
encouraged to carry out a program of active motion of the elbow and forearm
when prescribed.
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