Xrays of Fracture of Radial Neck In Adult

Fractures of radial neck are  relatively uncommon injury around the elbow in the adults. This injury is more common in children. In contrast,  radial head fractures are more common in adults.

The xray in the image are of 48 years old lady who fell from scooter. This fracture generally results from  a hard fall on an extended & supinated outstretched hand. The force is transmitted through  shaft of radius and  momentum of body drives capitellum (A projection of lower humerus that articulates with head of radius) against lateral half of radial head,
tilting & displacing it laterally.

• If  the forearm is fully supinated, the displacement is lateral
• If the forearm is in neutral mid position, displacement  is posterior

In the present xray a lateral displacement is noted.

The treatment depends upon the displacement of the fracture. A mildly displaced fracture like in the picture may be amenable to closed reduction but  a severe displacement may warrant open reduction and internal fixation.

The lady refused any treatment for this and was sent home in a splint.

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2. Anteroposterior and Lateral Xrays of Elbow Showing Fracture of Radial Head
3. Dislocation of Elbow With Fracure of Radial Neck – Anteroposterior and Lateral Views
4. Mason Type IV Radial Head Fractures – Xrays and Clinical Photographs
5. Anteroposterior Xray Of Elbow of A Child Showing Fracture Of Neck Of Radius