Radial Head

Patient presents with pain over  proximal radius and typical FOOSH injury mechanism 

clinical exam indicates XR 

Type I radial head fracture seen on XR , or anterior  fat  pad only  with NO fracture seen . No mechanical block on supination

Collar and cuff , analgesia.

Verbally read through the radial  head fracture leaflet  with  the patient and safety net 

discharge :  NO  NPC 

Type II and  III radial head fracture or anterior AND posterior fat pads or other  minimally displaced closed proximal forearm / elbow fracture seen on XR .

Collar and cuff , analgesia

NPC follow up  7 DAYS 

Type IV , open displaced 

Open or severely  displaced elbow/ foream frcature on XR or other immedite concerns.

Discuss with On Call  Trauma reg on Bleep  1222