Olecranon Fracture


MECHANISM

DIAGNOSIS

TREATMENT

  Initial Treatment
Splint type & position Long-arm posterior splint
Elbow in 90 degrees of flexion
Collar and cuff or arm sling for support
Initial follow-up visit Within 5 to 7 days
Pt instructions Icing, elevation
  Follow-up Care
Cast or Splint type & position Removable posterior splint or sling for comfort
Length of immobilization 2 to 3 weeks
Healing time 6 to 8 weeks for fracture union
8 to 10 weeks to restore motion
Follow-up visit interval Every 2 weeks
Repeat radiography interval At 1, 2, and 4 weeks
Check for any displacement
Pt instruction Forearm rotation within 1 week of injury
Flexion and extension at 2 weeks
Some loss of extension is expected
Flexion >90 degrees to be avoided until radiographic healing is apparent
Indications for Ortho consult >2 mm displacement
Any change in fracture position with flexion and extension
Inability to actively extend the elbow against gravity