General Discussion Triathlon Talk » Radial head fracture and time back to swimming? Rss Feed  
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2016-05-10 8:17 PM

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Regina, Saskatchewan
Subject: Radial head fracture and time back to swimming?
I'm 5 weeks into an 18 week HIM training plan. This was going to be my first HIM, after completing a couple sprints over the past few year.

While out on a training ride on Friday I had what seemed like a minor crash, but on Monday found out that I've fractured my radial head. I don't have an orthopedic consult until Friday but was interested in hearing other people's experiences. Based on the x-ray, it doesn't look like the bone is displaced enough to require surgery (*fingers crossed*), but I expect around a 6 week recovery period (leaving 7ish weeks until the HIM).

I have the bike on the trainer so imagine I can still use it without bearing weight on my arm.. running I'm not sure, I probably won't try until after my consult (so a week off) but am hoping it will be possible if there isn't a lot of pain. Swimming is what I'm concerned about most, does anyone have any experience with returning to swimming after this kind of fracture?

I'm also interested in any insight anyone might have on trying to still race following an injury in the middle of a training cycle... I have no goals for this race other than to finish. Swimming is my weakest discipline, but I would be happy with any time under the cut off. Ditto with running, I would be okay if I had to alter my plans and do a run/walk method if needed. My other alternative is to maybe look at another HIM. I was planning on Steelhead, but if I did Austin/Tempe/Miami instead that would give me an extra 5-6 weeks to try to maintain my base while my arm heals.

Any thoughts or experiences would be much appreciated!


2016-05-10 8:54 PM
in reply to: nirvie

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Master
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Eugene, Oregon
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Subject: RE: Radial head fracture and time back to swimming?
I had a minor one a few years ago--not displaced and actually the soft tissue and nerve injury was worse than the bone one--the latter was more of a minor stress-fracture type crack. The PT said to just let pain be the guide--I could do anything which didn't hurt. I would definitely check that out with your doctor and PT. In my case I was able to do some kind of swimming after 3 weeks--mostly breast stroke and dolphin kick with fins. Then I went through a few weeks when I could do all of the freestyle stroke but the recovery and catch, so I just kind of did dog paddle (with fins). Then I spent 2 or 3 weeks swimming with fins. The plus side of the injury was that it made breathing to my dominant side painful, so I finally mastered breathing to the other side. After about 6-7 weeks, I slowly weaned myself off the fins, built up distance, and then gradually added in faster swimming and other strokes over the course of several weeks. I think I was pretty much back to normal training within about three months after the injury.
2016-05-11 7:23 AM
in reply to: nirvie

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Subject: RE: Radial head fracture and time back to swimming?
I fractured my radial head a few years ago, but it was before I had started triathlons so I can't offer any advice on swimming. I wore a sling for about the first week or so, letting pain be my guide. The ortho docs didn't really give me any weight bearing restrictions, so it was based on how comfortable I felt. I started spinning (don't have a trainer) maybe 2 or 3 weeks out, because like you said, you could get by without any weight bearing. Same with running, started up when I could tolerate the pain.

Even though my injury was pretty minor, my elbow will still get stiff on long bike rides. I have to shake it out/straighten it every once in a while, will still get a nice "pop."

Sorry to hear about your injury. Mine was really stupid, was new to clips, had to stop in traffic on my way into work, and just toppled over. Learned the hard way to not stretch out your arm to brace the fall and avoid the FOOSH fracture (fall on outstretched hand). Good luck!
2016-05-11 8:06 AM
in reply to: nirvie

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Birmingham, Alabama
Subject: RE: Radial head fracture and time back to swimming?
I had a wreck about 7 weeks ago and broke my face up pretty well. Unfortunately, mine required facial surgery which put me on the bench for running and swimming until this past Monday.

My advice is to do whatever your doctor says, but ask him specifically about what you can and can't do. He initially told me "no exercise for about 4-6 weeks", but after asking more questions what I found is that he meant "no high impact exercise for 4-6 weeks". I couldn't swim or run and he didn't want me on a bike, but he did let me ride a stationary bike almost immediately and after a week or two he let me do some light strength training and use an elliptical (if I wanted, but I hate those things). The pool was a no go due to risk of infection after the surgery.

Just do whatever you can as you're doctor allows you to do it.

Good luck with your recovery.
2016-05-11 12:33 PM
in reply to: #5181198

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Coach
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Stairway to Seven
Subject: RE: Radial head fracture and time back to swimming?
You can do just about anything with a radial head fracture that doesn't cause pain. Just ask at the doctors
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