What is the treatment for a Type 1 radial head fracture?

• A. Non-operative with splinting and orthopedic follow-up.
• B. Surgical fixation.
• C. Immediate aggressive ROM.
• D. Joint excision.

Answer: (A)

Nondisplaced radial head fractures are treated nonoperatively because the fracture fragments are still aligned and the joint remains stable. Immobilization with a splint or short cast provides pain relief and allows healing without the risks of surgery. After a brief immobilization period, structured, gradual range-of-motion exercises are introduced to prevent stiffness and restore function. Surgical fixation is reserved for fractures that are displaced or unstable, where anatomy cannot be maintained by splinting. Immediate aggressive ROM is inappropriate in the acute phase because it can disrupt a healing nondisplaced fracture. Joint excision is not first-line for isolated Type I fractures due to potential instability and loss of forearm rotation, and is generally considered only in more complex or elderly-demand scenarios.