Department of Trauma and Orthopaedics, Queen's Medical Centre, Nottingham, UK.
School of Medicine, University of Nottingham Medical School, Nottingham, UK.
Br J Hosp Med (Lond). 2020 Apr 2;81(4):1-6. doi: 10.12968/hmed.2019.0404. Epub 2020 Apr 14.
Radial head fractures are a common fracture involving the elbow joint. Patients typically present after a fall onto an outstretched hand with elbow pain and swelling. Without adequate treatment, this can lead to long-term complications, including loss of elbow motion and pain. Radial head fractures may also be associated with other injuries including elbow dislocation, neighbouring bony fractures and associated ligamentous rupture. It is therefore imperative that hospital clinicians understand the diagnosis and treatment of this condition. The plain radiograph is the optimum method to diagnose a radial head fracture. These fractures can be managed using a variety of techniques, from non-surgical conservative methods for the undisplaced fracture through to surgical fixation, radial head replacement and excision for the more complex, displaced fracture.
桡骨头骨折是一种常见的累及肘关节的骨折。患者通常在摔倒后手伸展开时出现肘部疼痛和肿胀。如果得不到适当的治疗,这可能会导致长期并发症,包括肘部运动丧失和疼痛。桡骨头骨折也可能与其他损伤有关,包括肘关节脱位、邻近骨骨折和相关韧带断裂。因此,医院临床医生必须了解这种情况的诊断和治疗。X 线平片是诊断桡骨头骨折的最佳方法。这些骨折可以通过多种技术进行治疗,从无移位骨折的非手术保守方法到更复杂的移位骨折的手术固定、桡骨头置换和切除。