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Isolated radial head fractures are rare and comprise about 2％ of all fractures around the elbow.Bilateral radial head fractures are even rarer and few cases have been reported.We present a case of bilateral elbow effusion in a 28-year-old male patient.An initial diagnosis of inflammatory arthritis was made but on investigation it ted out to be a case of bilateral radial head fracture.The patient was managed conservatively with 10 days of immobilisation in above elbow slab followed by active elbow range of movement exercises.On follow-up at 6 months,the patient had near normal range of movements without pain or elbow instability.