congenital versus traumatic radial head dislocation

Last reviewed 01/2018

It is not uncommon for there to be difficulty distinguishing traumatic from congenital radial head dislocation. Factors that can help in the diagnosis include:

Feature Congenital dislocation Traumatic Dislocation
History of trauma occasionally always
Family history often none
Bilateral common rare
Other anomalies common rare
Radial head Dome shaped for anterior dislocations, narrow for posterior dislocations Normal shape with concavity
Ulna shortened; may be bowed normal
Capitellum hypoplastic or absent normal