- See:
-
Avulsion Fracture
-
Comminuted Fractures
-
Fracture Dislocations
-
Oblique Fractures
-
Surgical Approach:
- Discussion:
- transverse frx enters semilunar notch, & amount of separation of
fragments is influenced by the pull of triceps muscle & integerity of
triceps aponeurosis and periosteum of the olecranon;
- Simple Type:
- fracture occurs at the deepest point of the trochlear notch;
- it is an
Avulsion Fracture and results from a sudden pull of both the
triceps and brachialis muscles;
- it may also result from a direct fall on the olecranon itself;
- Complex Type:
- result from direct force w/ associatted comminution & joint depression;
- once the fragment is reduced, a defect may be left which may
may need to be bone grafted;
- Treatment:
-
tension band wiring;