Xray Elbow Showing Ulna United In Malposition and Ununited Radial Head Fracture

Forty eight years old lady came to OPD after two months of injury with complaint of stiffness of elbow. She had been treated conservatively at some other hospital.

Previous xrays revealed a fracture of radial haed and fracture of upper end of ulna.

Her extremity was wasted as compared to opposite limb and had an angular deformity.

A frash xray was done and revealed malunited ulna and ununited radial head fracture.

Malunited Upper End Ulna and Radial Head Fracture

Malunited Upper End Ulna and Radial Head Fracture

She was advised surgical correction of the deformity and excision of radial head. She refused.

Xray of Fracture of Medial Epicondyle of Humerus and Ipsilateral Radial Head

Xray of elbow showing fracture of medial epicondyle and radial head.

Fracture Medial Epicondyle and Ipsilateral Radial Head

Fracture Medial Epicondyle and Ipsilateral Radial Head

The other view of the elbow is not avaialble.

Xray Of Elbow After Excision Of Radial Head

Following xray shows an elbow after excision of  head of radius.

Elbow after radial head excision

Xray of Elbow after radial head excision

The excision in this case was done for fracture of radial head.

Osteosynthesis of Fracture of Radial Head With Miniplate and Screws

Radial head reduced and fixed using screws and miniplate.

Osteosynthesis of radial head with raidal miniplate

Osteosynthesis of radial head with raidal miniplate

This surgery allows early mobilization of the joint

Anteroposterior and Lateral Xrays of Elbow Showing Fracture of Radial Head

Fracture of radial head in a 38 year old female.

Fracture of Radial Head - AP View

Fracture of Radial Head

Anteroposterior view above shows fracture of radial head.

Fracture of Radial Head - Lateral View

Fracture of Radial Head - Lateral View

The lateral view shows comminution as well. [Read more...]

Fracture Of Radial Head – Anteroposterior View of Elbow

Radial head fractures occur in isolation or in association with fracture dislocations around elbow. The following xray is of 37 years old male who suffered trauma to his right elbow following a fall in a pit.

The patient presented to us about 3 weeks after the injury and was treated by radial head excision.

It is worthy of noting that had this patient presented earlier, there were strong chances of radial head preservation.

What Is Essex Lopresti Fracture?

Essex Lopresti Fracture consists of injury to radial head, interosseous ligament or membrane of the forearm and distal radio ulnar joint.

The injury has following elements

  • Comminuted displacedlaced fracture of the radial head
  • Subluxation or dislocation of the distal radioulnar joint.
  • Disruption of the interosseous membrane occurs.

In addition, there could be proximal migration of the radial shaft. The extent of migration depends on the severity of the injury and amount of disruption of interossous membrane.

This injury can result from a fracture-dislocation of the elbow or from application of a longitudinal force to the outstretched hand that causes impaction of the capitulum and radial head.

Patient would present with severe injury and pain in elbow and wrist.

Radiographs of both the elbow and wrist are required for diagnosis.

The treatment consists of  management of both the fractures.