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
Management: Non-Displaced Fracture
1. Indications
  1. Extensor mechanism intact
  2. Further displacement unlikely
2. Immobilization
  1. First 2 weeks: Molded posterior plaster splint
  2. After 2 weeks: sling
3. Exercises
  1. Gradually increase Elbow range of motion
Management: Displaced Fracture
1. Open reduction and Internal fixation
  1. Restores alignment and triceps insertion
References
1. Black (2009) Am Fam Physician 80(10): 1096-102
2. Hak (2000) J Am Acad Orthop Surg 8(4): 266-75

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 12/28/2011 and last published on 2/5/2012.

This is one of 5663 pages in the Family Practice Notebook