Updated: 6/17/2017

Congenital Radial Head Dislocation

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https://upload.orthobullets.com/topic/6069/images/Xray - lateral - colorado_moved.jpg
https://upload.orthobullets.com/topic/6069/images/congenital dx of radial head.jpg
Introduction
Anatomy
  •  Elbow Anatomy & Biomechanics 
Presentation
  • Symptoms
    • patients often asymptomatic
    • limited elbow ROM
  • Physical exam
    • radial head prominence
    • can have limited elbow ROM
      • especially in extension and supination
      • usually painless
Imaging
  • Radiographs 
    • radial head posterior to capitellum
    • radial head can be large and convex
    • radius is short and bowed 
Treatment
  • Nonoperative
    • observation
      • indications
        • first line of treatment
  • Operative
    • radial head resection 
      • indications
        • usually done in adulthood if patient has
          • significant pain
          • restricted motion
          • cosmetic concern of elbow
      • outcomes
        • reduces pain
        • may improve some elbow ROM
 

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