Elbow

Olecranon Fracture

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Olecranon Fracture

  • Mechanism
  1. Direct Traumatic blow to elbow
  2. Traumatic fall on Olecranon
  3. Triceps tendon avulsion
  • Signs
  1. Olecranon bursa swelling
  2. Fracture site may be palpable
  3. Evaluate elbow extension
    1. Impaired extension is a red flag and requires orthopedic Consultation
  • Indications
  • Orthopedic referral
  1. Referral is indicated in most cases of intra-articular Olecranon Fracture (non-avulsion Fractures)
    1. Management is controversial and local Consultation is recommended
  2. Impaired elbow extension
  1. Indications
    1. Displacement <5mm and further displacement unlikely and
    2. Extensor mechanism intact
  2. Immobilization with elbow at 45 degrees
    1. First 2 weeks: Molded posterior plaster splint
    2. After 2 weeks: sling
  3. Exercises
    1. Gradually increase Elbow range of motion
  1. Open reduction and Internal fixation
    1. Restores alignment and triceps insertion
  • References
  1. Black (2009) Am Fam Physician 80(10): 1096-102 [PubMed]
  2. Hak (2000) J Am Acad Orthop Surg 8(4): 266-75 [PubMed]