Orthopedics Book

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Olecranon Fracture

Aka: Olecranon Fracture
  1. Mechanism
    1. Direct Traumatic blow to elbow
    2. Traumatic fall on Olecranon
    3. Triceps tendon avulsion
  2. 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
  3. 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
  4. Management: Non-Displaced Fracture
    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
  5. Management: Displaced Fracture
    1. Open reduction and Internal fixation
      1. Restores alignment and triceps insertion
  6. 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]

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