Radial Head Fractures

Type I-undisplaced
Type II-Displaced single fragment
Type III-Comminuted
(IV-Johnston-assoc. with elbow dislocation)

I-early ROM
-stable elbow with full ROM= conservative
-block to rotation,assoc. Injury potentially compromising elbow stability (ie. MCL ,interosseous membrane, coranoid fracture, elbow dislocation)=consider ORIF
III-excision vs. Replacement
-excision reserved for those with isolated comminution (ie-no forearm or wrist pain, no assoc. Instability or injuries contributing to elbow instability-MCL/CORANOID)

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