Unhealed Radial Head Fracture: Impact on Pain and Daily Life

Non-union of the bone?

Will an unhealed fracture of the radial head cause pain over time? Will it affect daily life and work?

5425 Chi Chi, 30~39 year old female. Ask Date: 2016/01/16

Dr. Li Wenhong reply Orthopedics

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Hello! Depending on the location of the fracture, its size, degree of displacement, time since injury, and activity requirements, please visit the orthopedic outpatient clinic.
Thank you! Changhua Hospital, Orthopedics, Dr.
Li Wen-Hong.

Reply Date: 2016/01/16

More Info

An unhealed radial head fracture can indeed lead to persistent pain and significantly impact daily life and work. The radial head is the top part of the radius bone, located near the elbow. When a fracture occurs in this area, it can result from trauma, such as a fall or direct impact. If the fracture does not heal properly, it can lead to chronic pain, limited range of motion, and functional impairment.

Understanding Radial Head Fractures
Radial head fractures are classified into different types, with Type I being non-displaced and Type II being displaced. A non-displaced fracture may heal well with conservative treatment, while a displaced fracture often requires surgical intervention. If a fracture remains unhealed or improperly healed, it can lead to complications such as:
1. Chronic Pain: The pain may be localized around the elbow and can worsen with movement or certain activities. This pain can be sharp or dull and may radiate down the forearm.

2. Limited Range of Motion: An unhealed fracture can lead to stiffness in the elbow joint, making it difficult to fully extend or flex the arm. This limitation can affect daily activities such as lifting objects, reaching overhead, or even simple tasks like brushing teeth.

3. Functional Impairment: The inability to use the arm effectively can impact work, especially if your job requires manual dexterity or physical labor. Even sedentary jobs may be affected if you experience pain or discomfort while typing or using a mouse.

4. Development of Arthritis: Over time, an unhealed fracture can lead to post-traumatic arthritis, which can further exacerbate pain and limit mobility. This condition occurs when the joint surfaces become damaged, leading to inflammation and degeneration.

Impact on Daily Life and Work
The impact of an unhealed radial head fracture on daily life can be profound. Individuals may find themselves avoiding activities they once enjoyed due to fear of pain or further injury. Simple tasks like carrying groceries, lifting children, or participating in sports can become challenging or impossible.
In a work context, the inability to perform tasks effectively can lead to decreased productivity and job satisfaction. If the pain is severe, it may necessitate time off work or even a change in career, especially for those in physically demanding jobs.

Management and Treatment Options
If you suspect that your radial head fracture has not healed properly, it is crucial to seek medical attention. A healthcare provider may recommend imaging studies, such as X-rays or MRI, to assess the healing status of the fracture. Treatment options may include:
- Physical Therapy: A structured rehabilitation program can help improve range of motion, strengthen the surrounding muscles, and reduce pain.

- Medications: Over-the-counter pain relievers or anti-inflammatory medications can help manage pain and swelling.

- Surgical Intervention: In cases where the fracture is significantly displaced or non-healing, surgery may be necessary to realign the bone and stabilize the joint.

- Activity Modification: Avoiding activities that exacerbate pain and gradually reintroducing movements can help in the healing process.

Conclusion
In summary, an unhealed radial head fracture can lead to chronic pain and functional limitations that significantly impact daily life and work. It is essential to address any ongoing symptoms with a healthcare provider to explore appropriate treatment options and prevent long-term complications. Early intervention can lead to better outcomes and a return to normal activities.

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