Congenital Dislocation of Radial Head

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Topic updated on 05/24/12 8:18pm
Introduction
  • Almost always a posterior dislocation
    • often combined with bowing and shortening of radius
  • Factors in a congenital dislocation that help differentiate from a traumatic dislocation include
    • bilateral involvement
    • hypoplatic capitellum
    • convex radial head
    • other congenital anomalies
Presentation
  • Physical exam
    • limited ROM
Imaging
  • Xrays
    • look for short and bowed radius
    • radial head can be large and mushroomed shaped
Treatment
  • Nonoperative
    • almost always observation
  • Operative
    • radial head resection at maturity
      • only indicated if significant pain, restricted motion, or cosmetic concerns
      • may improve motion and reduce pain
      • will not improve deformity

 


 

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