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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Radial Head Fracture Management

Elbow Fractures

A 42-year-old woman presents after a fall onto her outstretched hand with elbow pain and inability to rotate her forearm. Examination reveals tenderness over the radial head, limited pronation and supination, and a small effusion. Radiographs show a displaced radial head fracture with three fragments and mechanical block to motion. The coronoid and ulna appear intact. Regarding radial head fractures:

Mark each as TRUE or FALSE

A

Radial head fractures are the most common elbow fractures in adults (30-40%); the mechanism is usual...

B

Mason classification: Type I (non-displaced or less than 2mm), Type II (displaced greater than 2mm, ...

C

Radial head fractures are rare in adults; the mechanism is direct blow; the radial head is the prima...

D

Non-operative treatment is indicated for Mason I (sling, early ROM exercises); aspiration of hemarth...

E

Radial head excision alone is contraindicated if there is MCL insufficiency, interosseous membrane i...

Answer the questions to see explanations

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