Olecranon fracture (peds): Difference between revisions
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{{General Fracture Management}} | {{General Fracture Management}} | ||
=== | ===Specific Management=== | ||
*If displaced <5 mm immobilize in stable position (usually 45 degrees of elbow flexion) | *If displaced <5 mm immobilize in stable position (usually 45 degrees of elbow flexion) | ||
*ORIF indicated for unstable fracture | *ORIF indicated for unstable fracture | ||
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==Disposition== | ==Disposition== | ||
===Specialty Care=== | |||
Revision as of 04:41, 18 September 2019
Background
Clinical Features
- Often occur in association with fracture of radial head/neck
Differential Diagnosis
Elbow Diagnoses
Radiograph-Positive
- Distal humerus fracture
- Radial head fracture
- Capitellum fracture
- Olecranon fracture
- Elbow dislocation
Radiograph-Negative
- Biceps tendon rupture/dislocation
- Lateral epicondylitis
- Medial epicondylitis
- Olecranon bursitis (nonseptic)
- Pronator teres syndrome
- Septic bursitis
Pediatric
- Nursemaid's elbow
- Supracondylar fracture
- Lateral epicondyle fracture
- Medial epicondyle fracture
- Olecranon fracture
- Radial head fracture
- Salter-Harris fractures
Evaluation
Management
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Specific Management
- If displaced <5 mm immobilize in stable position (usually 45 degrees of elbow flexion)
- ORIF indicated for unstable fracture
- Orthopedic consultation is best to guide treatment