Surgical Care at the District Hospital
Part 1 2 3 4 5 6 Primary Trauma Care Manual
Traumatology and orthopaedics
Acute Trauma Management
Trauma in perspective
Principles of Primary Trauma Care
Six phases of Primary Trauma Care
Procedures
Orthopaedic Techniques
Traction
Casts and Splints
Application of external fixation
Diagnostic imaging
Physical therapy
Crania burr holes
Orthopaedic Trauma
Upper extremity injuries
The hand
Fractures of the pelvis and hip
Injuries of the lower extremity
Spine injuries
Fractures in children
Amputations
Complications
War related trauma
General Orthopaedics
Congenital and developmental problems
Bone tumours
Infection
Degenerative conditions
Trauma in Perspective
 

> CLAVICLE FRACTURES
> ACROMIAL-CLAVICULAR JOINT SEPARATION
> SHOULDER DISLOCATION
> PROXIMAL HUMERUS FRACTURES
> HUMERAL SHAFT FRACTURES
> SUPRACONDYLAR FRACTURES OF THE HUMERUS
> OLECRANON FRACTURES
> FRACTURES OF THE RADIAL HEAD AND NECK
> ELBOW DISLOCATION
> FOREARM FRACTURES
> DISTAL RADIUS FRACTURES
> CARPAL FRACTURES AND FRACTURE DISLOCATIONS





OLECRANON FRACTURES


Olecranon fractures result from a fall on the tip of the elbow. The triceps muscle pulls the fracture fragments apart (Figure 18.19).

Figure 18.19
Figure 18.19


Evaluation

Physical examination shows swelling about the olecranon and a palpable gap at the fracture site. Examine the ulnar nerve function. X-rays confirm the fracture and associated injuries.

Treatment

:: Treat non-displaced fractures in a splint with the elbow at 90 degrees
:: Treat displaced fractures with the elbow in full extension; displaced fractures may a have better outcome if treated surgically
:: Simple methods include:
– Suture of the torn triceps tendon (Figure 18.20)
– Placement of percutaneous pins with rubber bands (Figures 18.21 and 18.22).
Figure 18.20
Figure 18.20

Figure 18.21
Figure 18.21

Figure 18.22
Figure 18.22

> CLAVICLE FRACTURES
> ACROMIAL-CLAVICULAR JOINT SEPARATION
> SHOULDER DISLOCATION
> PROXIMAL HUMERUS FRACTURES
> HUMERAL SHAFT FRACTURES
> SUPRACONDYLAR FRACTURES OF THE HUMERUS
> OLECRANON FRACTURES
> FRACTURES OF THE RADIAL HEAD AND NECK
> ELBOW DISLOCATION
> FOREARM FRACTURES
> DISTAL RADIUS FRACTURES
> CARPAL FRACTURES AND FRACTURE DISLOCATIONS



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  Kep Points  
Make the diagnosis by clinical examination and confirm by X-ray


Treat non-displaced fractures with a long arm splint at 90 degrees



 
Splint displaced fractures with the elbow extended or consider surgical stabilization.