Natural instinct in attempting to break a fall is placing your hand out in front of you. The force of the fall, however, could travel up your lower forearm bones and dislocate the elbow. It could also break the smaller bone (radius) in the forearm. A break can occur near the elbow at the radial “head,” “neck,” or both. Symptoms include pain on the outside of the elbow, swelling in the elbow joint, difficulty in bending or straightening the elbow, and/or inability or difficulty in rotating the forearm (palm up to palm down or vice versa). According to the degree of displacement (movement from the normal position) the decision can be made to manage the fracture with or without surgery.