AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |
Back to Blog
Olecranon fracture orthobullets3/1/2024 Extremely rarely it can mimic a patella cubiti. In young patients, one must consider unfused olecranon epiphysis 3. There is usually little differential, especially in adults, and when the clinical presentation is that of trauma to the elbow with pain, swelling and lack of mobility. Occasionally ulnar nerve injury can result in long-term sensory and motor impairment, most marked in the hand. Most of the symptoms relate to prominence of hardware given the little overlying soft tissues 1. ![]() Unlike many other intra-articular fractures, olecranon fractures result in relatively little secondary osteoarthritic changes, probably on account of most fractures occurring through a relatively non-articular part of the trochlear groove 1. Union rates with appropriate treatment are very high (~99%) and other than a slight reduction in flexion and extension at the elbow, function is preserved 1,2. Non-operative treatment can be considered for undisplaced fractures or patients with significant medical co-morbidities 2. Presence of fracture of the distal humerusĭue to the unopposed traction of the triceps muscle, these fractures are usually widely displaced and require open reduction and internal fixation (ORIF) 1. Presence of fracture or dislocation of the radial head Presence of fracture of the coronoid process Location, especially whether or not it reaches the articular surfaceĪssociated findings and relevant negatives Radiology reports should not only include whether or not a fracture is present but also comment on: They appear as a lucency usually reaching the trochlear groove articular surface and are, in most cases, displaced. Olecranon fractures are easy to diagnose provided a lateral x-ray of the elbow is obtained. It is important to remember that the ulnar nerve is closely related to the medial aspect of the olecranon and, although not common, nerve injury may complicate these fractures 2. We found satisfactory short-term and long-term outcomes following the nonoperative management of isolated displaced olecranon fractures in older, lower-demand patients.Olecranon fractures occur as the result of one of four mechanisms 2:ĭirect blow (or fall directly on the elbow)įall on outstretched hand with elbow flexedĪvulsion fracture - e.g. Distal Radius Intraarticular Fracture ORIF with Dorsal Approach. At a mean of six years (range, two to fifteen years) postinjury, the mean DASH score was 2.9 points (range, 0 to 33.9 points) and the mean Oxford Elbow Score was 47 points (range, 42 to 48 points) 91% (twenty-one) of twenty-three patients available for follow-up expressed satisfaction with the result of the procedure. Olecranon Fracture ORIF with Plate Fixation Radial Head Fracture (Mason Type 2) ORIF T-Plate and Kocher Approach Radial Head Fx - Replacement. No patient underwent surgery for a symptomatic nonunion. At a mean of four months (range, 1.5 to ten months) following injury, the mean Broberg and Morrey score was 83 points (range, 48 to 100 points), with 72% of the patients having an excellent or good short-term outcome. A low-energy fall from a standing height accounted for 84% of all injuries, and one or more comorbidities were documented in thirty-eight patients (88%). There were forty-three patients with a mean age of seventy-six years (range, forty to ninety-eight years) in the study cohort. The primary long-term outcome measure was the Disabilities of the Arm, Shoulder and Hand (DASH) score. The primary short-term outcome measure was the Broberg and Morrey Elbow Score. ![]() Inclusion criteria included all isolated fractures of the olecranon with >2-mm displacement of the articular surface. ![]() ![]() We identified, from our prospective trauma database, all patients who had been managed nonoperatively for a displaced olecranon fracture over a thirteen-year period. The aim of this study was to document both the short and the long-term outcomes following primary nonoperative management of isolated displaced fractures of the olecranon.
0 Comments
Read More
Leave a Reply. |