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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Radial Head Arthroplasty MCQ

radial-head-arthroplasty

A 45-year-old woman falls onto an outstretched hand. Radiographs reveal a comminuted radial head fracture with more than 3 articular fragments and greater than 2mm of displacement. The elbow is stable on valgus stress testing. CT confirms the fracture involves the entire head with involvement of the radial neck. The lateral collateral ligament complex appears intact. **According to the Mason-Johnston classification, what is the fracture grade and MOST appropriate management?**

Mark each as TRUE or FALSE

A

Mason II - closed reduction and immobilization

B

Mason III - ORIF with headless compression screws

C

Mason III - radial head arthroplasty due to unreconstructable comminution

D

Mason IV - radial head excision without replacement

E

Mason II - aspiration and early mobilization

Answer the questions to see explanations

Click T (True) or F (False) for each option