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Hotchkiss Classification of Radial Head Fractures

Type I: Minimally displaced fractures of the radial head or neck ① Limited forearm rotation (pronation/supination) due to pain or swelling.
② Intra-articular fracture fragments displaced less than 2mm.
Type II: Displaced fractures of the radial head or neck (displacement greater than 2mm) ① Limited movement due to mechanical blockage or poor joint congruence.
② Fracture is not severely comminuted and can be treated with open reduction and internal fixation.
③ Fracture involves more than the edge of the radial head.
Type III: Severely comminuted fractures of the radial head or neck ① Reconstruction of the radial head is not possible.
② Radial head excision is required to restore elbow or forearm range of motion.
Type IV: Comminuted fractures of the radial head with elbow dislocation.
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