Olecranon fracture (peds)
This page is for pediatric patients. For adult patients, see: olecranon fracture
Background
Clinical Features
- Often occur in association with fracture of radial head/neck
Differential Diagnosis
Radiograph-Positive
- Distal humerus fracture
- Radial head fracture
- Capitellum fracture
- Olecranon fracture
- Elbow dislocation
Radiograph-Negative
- Lateral epicondylitis
- Medial epicondylitis
- Olecranon bursitis (nonseptic)
- Septic bursitis
- Biceps tendon rupture/dislocation
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
Disposition
Specialty Care
See Also
External Links
References
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