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Olecranon fracture (peds)
From WikEM
Contents
Background
Clinical Features
- Often occur in association with fracture of radial head/neck
Differential Diagnosis
Elbow Diagnoses
Radiograph-Positive
Radiograph-Negative
- Lateral epicondylitis
- Medial epicondylitis
- Olecranon bursitis (nonseptic)
- Septic bursitis
- Biceps tendon rupture/dislocation
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
