presents
Wheeless' Textbook of Orthopaedics
www.smith-nephew.com
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Avulsion Fracture





- See:
      - Surgical Approach:
      - Transverse Fractures
- Discussion:
    - transverse frx line divides small proximal fragment of olecranon
          process from rest of ulna;
    - this frx is most common in elderly patients;
- Resection of Olecranon:
    - Surgical Approach:
    - resection of proximal fragment & reattachment of triceps
          is reserved for elderly patients w/ osteoporotic bone;
          - frx must be proximal to middle of the trochlear notch or involve
              < 50% of articluar surface;
                - otherwise the elbow will be unstable;



Original Text by Clifford R. Wheeless, III, MD.