Difference between revisions of "Radial head fracture (peds)"

Line 3: Line 3:
*Majority are Salter II fractures
*Majority are Salter II fractures
*Average age is approx 10 yrs
*Average age is approx 10 yrs
- Physical Exam:
    - carefully assess the function of the posterior interosseous nerve;
==Clinical Features==
==Clinical Features==

Revision as of 17:13, 6 March 2016


  • Radial neck fractures tend to be more common in the pediatric population than radial head fractures
  • Majority are Salter II fractures
  • Average age is approx 10 yrs

Clinical Features

  • Mechanism is typically FOOSH
  • Tenderness over the elbow
  • May include posterior interosseous nerve intrapment causing a finger drop

Differential Diagnosis

Elbow Diagnoses





Radial Head Fracture.png
  • AP and lateral elbow xray
    • Assess for anterior fat pad
  • Knowledge of ossification centers of the elbow can be helpful
    • Capitellum (1 yr.)
    • Radius (3 yr.)
    • Internal or medial epicondyle (5 yr.)
    • Trochlea (7 yr.)
    • Olecranon (9 yr.)
    • External or lateral epicondyle (11 yr.)


  • Ortho consultation to guide treatment
  • ORIF indicated when angulation >60 degrees or displacement >50%


  • Consult ortho

See Also

External Links