# RADIAL HEAD WITH STIFF ELBOW

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CHERRY KOVOOR

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Dec 20, 2009, 7:42:21 AM12/20/09

to indi...@googlegroups.com, ORTHOPOD

Dear Friends

Requesting opinions. 26 year old school teacher- history of fall down the stairs. 2 months ago. She sustained # radial head and was operated in a govt hospital and then done physiotherapy.

Examination shows a lateral healed scar and ROM elbow is 70- 95 degrees . supination = 20 degree short of full and pronation =20 degree from mid-prone position.

x-rays shows radial head antero medial to olecranon and myositis of the elbow anteriorly.

Pt [ naturally] wants her ROM improved. I have asked her to do strictly active elbow mobilization for one month. If it does not improve I plan to do an arthrolysis- Can this be done through TRAP approach[ that is posterior ]? Does she need a fixator to assist in mobilization? Does the radial head need excision?

Attaching x-rays

Looking forward to opinions

DR C CHERIAN KOVOOR

KOCHI

INDIA

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