Elbow Fracture

ADULT INJURIES

Radial Head/Neck Fractures

1. 50% of elbow injury in adults
2. see Elbow Fx lect

Olecranon Fx

1. 2nd most common
2. 20%
3. direct blow
4. pain,swelling, can't extend elbow
5. OR if > 2 mm stepoff

Elbow D/L

1. 3rd most common jt D/L
2. 90% post or postlateral
3. 50% have assoc injuries, most common is med epicondylar fx that can often get entrapped
4. prox radius & coronoid also Fxed
5. ulnar injury - 8-21% in post D/L
6. higher rate of neurovasc injury in anterior D/L
7. Long arm post splint

Monteggia Fx/D/L

1. Type I - prox 1/3 of ulna, ant displ of distal ulna & ant disl of radial head
   1. 80%
2. Type II - post displ of distal ulna & post D/L or radial head (20%)
3. Dislocation of radial head requires ORIF

See Also

• Elbow (Minor)
• Supracondylar Fracture
• Elbow Xray Peds

Source

• Tintinalli