Pediatric emergency medicine trisk 3469 3469
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Radial head fractures may occur in conjunction with ulnar shaft fracture
(Monteggia equivalent). Associated fractures are common, including
capitellum, olecranon, and lateral humeral condyle, as well as
dislocation of the distal radioulnar joint.
When the diagnosis is uncertain, oblique, radiocapitellar, and
comparison views may be useful in addition to standard AP and lateral
radiographs.
Patients with radial head and neck fractures may complain of wrist pain
but have focal tenderness to palpation over the anatomic location of the
injury.
Injury may be associated with trauma to the posterior interosseous
nerve.
