Olecranon fracture (peds)
Revisión del 03:08 27 jun 2016 de Neil.m.young (discusión | contribs.) (Text replacement - "*UpToDate" to "")
Background
Clinical Features
- Often occur in a/w fx 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
Workup
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