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© 2012-2024 Isokinetic Medical Group Srl
P.Iva 03740671205 – Cap. Soc. Int. Vers. Euro 10.400 – Reg. Imp. n.03696800378 – R.E.A. n.309376
The elbow, the structure that connects the arm (composed of the humerus) with the forearm (made of the radius and the ulna), is a complex articulation of our body, composed of three different joints; the ulnohumeral (ulna with humerus), radiohumeral (radius with humerus), and radioulnar (radius with ulna) joints. The radial head is the proximal part of the radius that articulates with both the humerus and the ulna. It has the paramount function of allowing elbow flexion-extension and rotation movements. Fractures to the radial head are rare overall, but unfortunately common when elbow fractures are reported. The typical injury mechanism consists of a direct traumatic event to the elbow or a fall with the hand in extension. Due to the different injury mechanisms and the specifics of the fracture, patients can report significantly different symptomatology. Patients affected by this injury typically present pain localised on the site of the fracture that can radiate to other structures, swelling, bruises, elbow deformity, severely impacted arm-elbow functioning and there may be blockages of the joint. Aside from collecting data from the injury mechanisms and performing a physical assessment of the patient, an imaging examination (e.g.: x-ray, computed tomography, MRI) is typically performed to optimally visualise the specifics of the injury.
The management of patients affected by radial head fractures strongly depends on the specifics of the injury, such as the bone fragments’ position (e.g.: displaced, non-displaced, etc.), associated injuries (e.g.: musculoskeletal, neural, vascular system, etc.) and the characteristics of the affected patients (e.g.: age). Certain radius head fractures (e.g.: small and stable fractures that do not significantly compromise elbow functioning) can be managed conservatively with immobilisation/protection (through the implementation of a cast, sling or support) and rehabilitation. In case surgical treatment is deemed necessary, many different procedures (e.g.: radial head excision, osteosynthesis, etc.) are available and always discussed between the patient and the medical-surgical staff. After surgery, a period of immobilisation/protection with the use of a sling, cast or brace is typically recommended and rehabilitation should start as soon as indicated by the medical team. In Isokinetic, after being thoughtfully visited by one of our specialised doctors, your recovery process will be structured in different stages and take place in four different environments, the pool, the gym, the movement analysis and retraining room and the pitch. In the early stages, the main goals are to restore homeostasis by reducing pain and swelling, recovering mobility, and gradually restoring elbow and upper limb functioning. In the mid-stage of rehabilitation, shoulder and elbow strength recovery becomes the priority, together with the optimisation of the general movement quality to learn how to integrate the elbow and upper limb back into activities of daily living and sports. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to safely and effectively return to participate in their favourite activities and sports that require the utilisation of the upper limb (e.g.: throwing-, rackets-, falling-, related sports, etc.), maximising the recovery outcomes and reducing the likelihood of complications.
© 2012-2024 Isokinetic Medical Group Srl
P.Iva 03740671205 – Cap. Soc. Int. Vers. Euro 10.400 – Reg. Imp. n.03696800378 – R.E.A. n.309376