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Olecranon fracture

4/24/2015

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HPI: Young male otherwise healthy presenting today status post fall.  Right hand dominant.  Patient fell awkwardly with his arm slightly outstretched backwards off a trampoline and landed with his left arm under him. Patient had isolated pain at his left elbow.  Ambulatory.  No head injury or LOC.  

Physical Exam: Mild swelling present at the left elbow region with tenderness at the olecranon.  Patient had limited range of motion at the elbow secondary to pain.  Radial pulses strong and equal bilaterally.  Able to give thumbs up, cross fingers, and make okay signs bilaterally.  No neurologic deficits in median, radial or ulnar nerve distributions.

Radiograph:

Picture
Picture
Management:
  • Long arm cast placed for neurovascularly intact nondisplaced olecranon fracture
  • Will keep on for 3 weeks with follow up at that time with orthopedics
Discussion
  • Usually occurs with landing on an outstretched hand or direct elbow trauma
  • If there is no/minimal displacement, can place in long arm cast or splint and follow up in 3 weeks.
  • If fracture is displaced, ORIF would be indicated.
  • As with other extremity fractures, make sure to rule out compartment syndrome

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  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • EMS
    • Global EM
    • Pediatric EM
    • Toxicology >
      • Tox Faculty
      • Tox Application
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • Alumni
  • STUDENTS/APPLICANTS
    • Prospective Visiting Students
    • UNC/Wake Forest Students
    • Healthcare Disparities Externship
    • Resident Mentorship
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction