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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).
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
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Treat
non-displaced fractures in a splint with the elbow
at 90 degrees |
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Treat
displaced fractures with the elbow in full extension;
displaced fractures may a have better outcome if
treated surgically |
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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). |
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