Patients who performed home exercises after sustaining a nondisplaced or minimally displaced fracture of the radial head or neck demonstrated better early function at 6 weeks compared with patients who received formal PT. At 3 months, 6 months, and final follow-up, there were no significant differences between cohorts for any outcome measure. At 6 weeks, the home-exercise cohort had better function as indicated by a significantly lower mean DASH score compared with the PT cohort (p = 0.021). There were no significant differences in demographics between cohorts.
Twenty-five patients were randomized to a home-exercise cohort, and 26 patients were randomized to a formal-outpatient-PT cohort. Independent-samples t tests were utilized to compare outcome measures.įifty-one patients were enrolled in the study. Demographic data were analyzed using the Mann-Whitney U test and Fisher exact test. The outcome measures were Disabilities of the Arm, Shoulder and Hand (DASH) scores pain time to clinical healing and range of motion. The follow-up intervals were 6 weeks, 3 months, 6 months, and at least 1 year. Patients were randomized to receive outpatient PT or perform self-directed home exercise. Patients who had a nondisplaced or minimally displaced fracture of the radial head or neck and presented to 1 of 2 providers were enrolled prospectively between January 2014 and August 2016.
NON DISPLACED RADIAL HEAD FRACTURE TRIAL
The aim of this trial was to assess the need for formal PT following a simple fracture of the radial head or neck. Nondisplaced and minimally displaced fractures of the radial head and neck are common injuries, yet the role of physical therapy (PT) in their treatment is unclear.
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