eMedicine Specialties > Orthopedic Surgery > Elbow

Olecranon Fractures: Multimedia

Author: James W Pritchett, MD, FACS, Clinical Associate Professor of Orthopedic Surgery and Sports Medicine, University of Washington School of Medicine
Coauthor(s): Margaret A Porembski, MD, Research Fellow, Department of Surgery, Massachusetts General Hospital, Shriner's Burns Hospital, Harvard Medical School
Contributor Information and Disclosures

Updated: Dec 29, 2006

Multimedia

Lateral radiograph of the elbow in a 78-year-old ...
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Media file 1: Lateral radiograph of the elbow in a 78-year-old man who fell on his outstretched hand is shown. A displaced fracture of the olecranon was noted.
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Lateral radiograph of the elbow in a 78-year-old ...

Lateral radiograph of the elbow in a 78-year-old man who fell on his outstretched hand is shown. A displaced fracture of the olecranon was noted.

Drawing of a tension band fixation demonstrating ...
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Media file 2: Drawing of a tension band fixation demonstrating dorsal placement of the wire prior to seating the Kirschner wire beneath the triceps.
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Drawing of a tension band fixation demonstrating ...

Drawing of a tension band fixation demonstrating dorsal placement of the wire prior to seating the Kirschner wire beneath the triceps.

Drawing depicting the radial bow of the proximal ...
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Media file 3: Drawing depicting the radial bow of the proximal third of the ulna.
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Drawing depicting the radial bow of the proximal ...

Drawing depicting the radial bow of the proximal third of the ulna.

Anteroposterior radiograph following reduction an...
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Media file 4: Anteroposterior radiograph following reduction and internal fixation of the fracture with a 7.3-mm cannulated screw and 1.6-mm cable.
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Anteroposterior radiograph following reduction an...

Anteroposterior radiograph following reduction and internal fixation of the fracture with a 7.3-mm cannulated screw and 1.6-mm cable.

Lateral radiograph demonstrating the threads of t...
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Media file 5: Lateral radiograph demonstrating the threads of the screw engaging the cortices of the ulna.
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Lateral radiograph demonstrating the threads of t...

Lateral radiograph demonstrating the threads of the screw engaging the cortices of the ulna.

More on Olecranon Fractures

Overview: Olecranon Fractures
Workup: Olecranon Fractures
Treatment: Olecranon Fractures
Follow-up: Olecranon Fractures
Multimedia: Olecranon Fractures
References
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References

  1. Doornberg J, Ring D, Jupiter JB. Effective treatment of fracture-dislocations of the olecranon requires a stable trochlear notch. Clin Orthop Relat Res. Dec 2004;292-300. [Medline].

  2. Gartsman GM, Sculco TP, Otis JC. Operative treatment of olecranon fractures. Excision or open reduction with internal fixation. J Bone Joint Surg [Am]. Jun 1981;63(5):718-21. [Medline].

  3. Inhofe PD, Howard TC. The treatment of olecranon fractures by excision or fragments and repair of the extensor mechanism: historical review and report of 12 fractures. Orthopedics. Dec 1993;16(12):1313-7. [Medline].

  4. McKeever FM, Buck RM. Fracture of the olecranon process of the ulna: Treatment by excision of the fragment and repair of the triceps tendon. JAMA. 1947;135:1-5.

  5. Moed BR, Ede DE, Brown TD. Fractures of the olecranon: an in vitro study of elbow joint stresses after tension-band wire fixation versus proximal fracture fragment excision. J Trauma. Dec 2002;53(6):1088-93. [Medline].

  6. Morrey BF. Current concepts in the treatment of fractures of the radial head, the olecranon, and the coronoid. Instr Course Lect. 1995;44:175-85. [Medline].

  7. Mueller ME, Allgower M, Schneider R. Manual of Internal Fixation: Techniques Recommended by the AO-ASIF Group. 3rd ed. Berlin, Germany: Springer-Verlag; 1991.

  8. Murphy DF, Greene WB, Dameron TB Jr. Displaced olecranon fractures in adults. Clinical evaluation. Clin Orthop. Nov 1987;(224):215-23. [Medline].

  9. Papagelopoulos PJ, Morrey BF. Treatment of nonunion of olecranon fractures. J Bone Joint Surg Br. Jul 1994;76(4):627-35. [Medline].

  10. Rettig AC, Waugh TR, Evanski PM. Fracture of the olecranon: a problem of management. J Trauma. Jan 1979;19(1):23-8. [Medline].

  11. Rommens PM, Küchle R, Schneider RU. Olecranon fractures in adults: factors influencing outcome. Injury. Nov 2004;35(11):1149-57. [Medline].

  12. Rommens PM, Schneider RU, Reuter M. Functional results after operative treatment of olecranon fractures. Acta Chir Belg. Apr 2004;104(2):191-7. [Medline].

  13. Rush LV, Rush HL. A reconstruction operation for a comminuted fracture of the upper third of the ulna. Am J Surg. 1937;38:332-3.

  14. Schatzker J. Fractures of the olecranon. In: The Rationale of Operative Fracture Care. Berlin, Germany: Springer-Verlag;1991.

  15. Simpson NS, Goodman LA, Jupiter JB. Contoured LCDC plating of the proximal ulna. Injury. Jul 1996;27(6):411-7. [Medline].

  16. Sultan S, Khan AZ. Management of comminuted fractures of the olecranon by tension band wiring. J Ayub Med Coll Abbottabad. Jul-Sep 2003;15(3):27-9. [Medline].

  17. Wolfgang G, Burke F, Bush D. Surgical treatment of displaced olecranon fractures by tension band wiring technique. Clin Orthop. Nov 1987;(224):192-204. [Medline].

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Further Reading

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Keywords

elbow fractures, tension band wiring, tension-band wiring, AO-ASIF, Arbeitsgemeinschaft fur Osteosynthesefragen-Association for the Study of Internal Fixation

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Contributor Information and Disclosures

Author

James W Pritchett, MD, FACS, Clinical Associate Professor of Orthopedic Surgery and Sports Medicine, University of Washington School of Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Margaret A Porembski, MD, Research Fellow, Department of Surgery, Massachusetts General Hospital, Shriner's Burns Hospital, Harvard Medical School
Margaret A Porembski, MD is a member of the following medical societies: American Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Mark D Lazarus, MD, Associate Professor of Orthopedic Surgery, Medical College of Pennsylvania-Hahnemann University, Chief of Shoulder and Elbow Service, Department of Orthopedic Surgery, Hahnemann University Hospital
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Michael Yaszemski, MD, PhD, Associate Professor, Departments of Orthopedic Surgery and Bioengineering, Mayo Foundation, Mayo Medical School
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Harris Gellman, MD, Consulting Surgeon, Broward Hand Center, Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami School of Medicine
Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, and Arkansas Medical Society
Disclosure: Nothing to disclose.

 
 
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