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A radial head fracture is a break in the radial head, which is the top part of the radius bone in the elbow joint. The radial head articulates with the capitellum of the humerus and the lesser sigmoid notch of the ulna to allow forearm rotation and elbow flexion/extension. A radial head fracture can occur from a fall onto an outstretched arm or a direct blow to the elbow.
Common Symptoms
Cause & Anatomy
The radial head is susceptible to fracture due to its exposed position and lack of muscular protection around the elbow joint. Fractures often result from falls onto an outstretched arm or direct elbow trauma.
Diagnosis
Diagnosis is made through physical exam assessing pain, swelling, instability and X-rays. CT scans may be needed to evaluate displacement and involvement of the joint surface.
Prevention
Preventive measures include using protective gear during sports/activities and taking precautions to avoid falls.
Treatment
Treatment depends on the fracture severity and displacement:
Surgery
For displaced or comminuted fractures, surgery aims to restore joint congruity and stability. Options include open reduction and internal fixation with plates/screws, radial head excision, or radial head arthroplasty (replacement).
Rehabilitation
After immobilization or surgery, physical therapy focuses on regaining range of motion, strength and function through stretching and exercises.
FAQ’s
Some common questions include recovery timelines, long-term outcomes, and optimal treatment for specific fracture patterns. Consulting an orthopedic specialist is recommended for personalized care.
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HCA Healthcare is in contract negotiations with Anthem and Cigna. Some patients may have received letters stating that care at an HCA facility could become out of network beginning Dec. 1, 2026, for Anthem or Jan. 1, 2027, for Cigna if new agreements are not reached.
HCA has assured us they expect to resolve both negotiations before those dates. If you have a procedure scheduled at an HCA facility, please do not cancel it based solely on the letter. Contact your insurer to confirm your facility’s network status and benefits, and reach out to our scheduling team with questions. We are monitoring the situation and will help patients understand their options as updates become available.
We will honor existing appointments through 03/01/2026 without authorization. However, any planned or ongoing treatment may be delayed if authorization is not received (IE: MRI, Surgery, PT/OT).
Please contact your PCP as soon as possible to obtain an authorization if you wish to be seen today or to avoid delays in care.