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Radial Head Fracture: Synthesis or Prosthetic Replacement

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The Elbow

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Abstract

Radial head fracture is the most common elbow fracture in adults.

The most common traumatic mechanism is a fall onto the outstretched hand with the elbow partially flexed and the forearm in pronation.

Many factors should be considered in the decision-making process to ensure optimal outcomes. The characteristics of the radial head fracture, including the number and displacement of the fragments, articular surface involvement, and bone quality, all influence the treatment.

A variety of treatment options are used, including early motion with nonsurgical treatment or with a surgery by the fragment excision, radial head excision, repair, and replacement. The principal goals of all the treatments are to restore the elbow motion, and in case of the surgical treatment, the primary aims are to restore the anatomy and the articular congruity.

The rehabilitation program of radial head fractures depends primarily on the presence of associated osseous and ligamentous injuries (simple or complex fractures, respectively) and if the patient has undergone surgery or not.

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Authors and Affiliations

  1. Shoulder and Elbow Unit, Department of Orthopaedic Surgery, Hesperia Hospital, Modena, Italy

    Andrea Celli

  2. Physical Medicine and Rehabilitation Terme di San Petronio-Antalgik, Bologna, Italy

    Susanna Stignani Kantar

  3. PhysioMedica, Faenza, Italy

    Susanna Stignani Kantar

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  1. Andrea Celli
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Correspondence to Andrea Celli .

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Editors and Affiliations

  1. Policlinico di Modena, Shoulder and Elbow Unit, D. Cervesi Hospital, Cattolica, Italy

    Giuseppe Porcellini

  2. Rizzoli Institute, Bologna, Italy

    Roberto Rotini

  3. Terme di San Petronio - Antalgik, Bologna, Physiomedica, Faenza, Italy

    Susanna Stignani Kantar

  4. Shoulder Team, ForlìCio - Collegio Italiano Osteopatia, Parma, Italy

    Silvia Di Giacomo

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Celli, A., Kantar, S.S. (2018). Radial Head Fracture: Synthesis or Prosthetic Replacement. In: Porcellini, G., Rotini, R., Stignani Kantar, S., Di Giacomo, S. (eds) The Elbow. Springer, Cham. https://doi.org/10.1007/978-3-319-27805-6_13

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