- Discussion:
- frx is displaced & forearm is unstable in relation to humerus;
- this injury is really a
fracture-dislocation;
-
Avulsion Fracture
-
Comminuted Fractures
-
Distal Olecranon Fracture:
-
Oblique Fractures
-
Transverse Fractures
- Sub-Classfication:
-
Unstable, displaced fractures:
-
III-A: unstable
displaced frx;
-
III-B:
-
comminuted, unstable, displaced frx;
- comminution threatens adequacy of plate fixation alone;
- Surgical Considerations:
- w/ frx
comminution, it is important to align the fracture by aligning the cortex
instead of the articular surface, noting that the sigmoid notch is typically
devoid of cartilage in its mid section (the effect of which would be
narrowing of the notch); - see:
anatomy of olecranon;
-
Excision of Olecranon is
contra-indicated in type III fractures,
since there is inherent instability w/ this type of frx, and olecranon
excision would promote even more instability;
- Treatment Options:
-
Surgical Approach:
-
Tension Band Wiring: (probably not indicated w/ comminuted frx)
-
Plate Fixation:
