DOG LEG-SPLINT: If the fracture is a closed fracture, use a splint (if. Treatment may be nonoperative for nondisplaced fractures with an intact extensor mechanism. process of a broken bone Signs of a bone fracture. Diagnosis can be made with plain radiographs of the elbow. It is essential to consider the variable anatomy of the proximal ulna during surgery.Ĭopyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated. summary Olecranon Fractures are common fractures of the elbow that lead to loss of extensor mechanism. PO is advocated for multifragmentary fractures and fractures that are associated with ulnohumeral instability. Patients with displaced olecranon fractures with a stable ulnohumeral joint without significant articular surface fragmentation (Mayo type 2A) can be managed with tension band wiring, plate osteosynthesis (PO), intramedullary fixation, or suture repair. Patients may also sustain an associated medial epicondyle or olecranon fracture (Monteggia variant). Fractures of the radial neck may occur with a concomitant posterior elbow dislocation. Nonoperative management can be successfully used in undisplaced fractures (Mayo type 1) and in displaced fractures (Mayo type 2) in frail patients with lower functional demands. Injuries Associated with Radial Head and Neck Fractures. This pointy segment of the bone is part of the ulna, one of the bones which come together as. The management of an isolated olecranon fracture is based on patient factors (age, functional demand, and if medically fit to undergo surgery) and fracture characteristics including displacement, fragmentation, and elbow stability. S52026P, CC, 0897:5,561 codes, Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for closed. An olecranon fracture is a break in the bony tip of the elbow. A displaced fracture with a stable ulnohumeral joint (Mayo type 2) is the most common type of injury. Olecranon fractures account for 10% of all elbow fractures and are more likely to result from a low-energy injury.
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