Fractured Radial Head

What is a Fracture of the Radial Head?

The radius is one of the two long bones in the forearm, extending from the elbow to the thumb side of the wrist. A radial head fracture refers to a break in the upper part of the radius, located just below the elbow joint. This type of injury often occurs due to a fall onto an outstretched hand or direct trauma to the elbow.

Physiotherapy plays a crucial role in the rehabilitation process, helping to restore elbow mobility, reduce pain, and regain strength after a radial head fracture.

Above: Passive stretch of the muscle and connective tissue around the elbow

What Can Cause a Fracture of the Radial Head?

Radial head fractures most commonly occur as a result of falling onto an outstretched hand. The force from the impact travels up the forearm, causing the radial head to absorb the shock and potentially fracture. These injuries are often associated with sports, accidents, or slips and falls.

What Are the Symptoms of a Radial Head Fracture?

A fractured radial head typically presents with:

  • swelling/inflammation
  • stiffness
  • weakness
  • numbness

What Should I Do If I Suspect a Radial Head Fracture?

A fractured radial head is a serious injury. If you have, or suspect you have a fracture of your radial head, you should immediately go to the nearest accident and emergency department. To help with your pain and reduce and control any swelling you can apply ice to the elbow. Ideally, this should be in the form of crushed ice wrapped in a moist towel or cloth applied for up to 20 minutes.

Above: Soft tissue massage and stretch of the muscle and connective tissues around the elbow

What Should I Avoid If I Have a Radial Head Fracture?

If you suspect a fracture of the radial head, it's important to avoid any activities that could cause the broken bone fragments to shift. Do not use or move the affected arm until it has been properly assessed in an accident and emergency department.

You should also avoid anything that increases blood flow to the injured area, as this can worsen swelling and internal bleeding. This includes:

  • Taking hot showers or baths
  • Applying heat rubs or undergoing massage
  • Drinking alcohol

Physiotherapy for a fracture of the radial head.

Management of a fractured radial head begins with immediate assessment at an accident and emergency department, where X-rays are used to confirm the diagnosis and evaluate the severity and alignment of the fracture. If the bone remains in a good position, the injury can typically be managed by immobilising the arm in a cast or sling to allow natural healing. However, in cases where the fracture is displaced or unstable, surgical intervention may be necessary to realign and secure the bone fragments using fixation techniques.

Once the initial medical care is complete, physiotherapy becomes essential for a full recovery. At Ace Physio Sports, our team of expert physiotherapists will assess the stage of healing and provide a tailored rehabilitation plan based on your specific needs. Treatment focuses on reducing pain, improving flexibility, and restoring function. Early sessions are aimed at gently regaining the range of movement in the elbow to prevent stiffness and joint restrictions. As healing progresses, the focus shifts toward rebuilding strength in the elbow, forearm, and upper arm to support long-term recovery and prevent future complications. A structured rehabilitation programme ensures that you can safely return to your normal daily activities with improved confidence and reduced risk of long-term impairment.

  • Manipulation / Mobilisation
  • Exercise Programmes
  • Acupuncture
  • Taping

Can a fracture of the radial head have any long-term effects?

Most radial head fractures heal well with timely medical attention and a structured physiotherapy program. With the right rehabilitation, many individuals regain near-complete function and return to their daily routines without significant issues. However, because of the complex structure of the elbow and the precise location of the radial head, some people may experience a reduced range of motion even after healing. This can result from factors such as delayed or inconsistent physiotherapy, the development of scar tissue, post-surgical hardware like plates or screws, or muscle stiffness around the joint. Starting physiotherapy early and following your treatment plan closely can significantly reduce the risk of long-term complications and help maximise your recovery outcomes.

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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