After radial head fracture surgery, which position should be avoided during the initial phase of rehabilitation?

• A. Supination with extension
• B. Flexion with pronation
• C. Extension with neutral rotation
• D. Single-arm abduction

Answer: (B)

After radial head fracture surgery, it's important to ensure that the healing process is not compromised by placing undue stress or strain on the joint and surrounding structures. The position that should be avoided during the initial phase of rehabilitation is flexion with pronation.

Flexion with pronation can place the radial head in a mechanically unfavorable position, increasing the risk of pain and hinder the healing of the fracture site. This position could also stress the soft tissues, such as ligaments and muscles that have been impacted by the injury and subsequent surgery. Maintaining a more neutral position, such as extension with neutral rotation or even supination with extension, allows for better stabilization of the joint without imposing excessive load on the healing structures.

By avoiding flexion with pronation and adopting safer positions during the rehabilitation phase, the recovery process can be optimized, and the range of motion can be restored more effectively without compromising the stability of the repaired fracture.