Olecranon Fractures - Pediatric

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Topic updated on 11/10/12 10:35am
Introduction
  • May present as a stress fracture
  • Epidemiology
    • common in young pitchers
  • Associated conditions
    • osteogenesis imperfecta
      • high prevelence in children with osteogenesis imperfecta
      • often leads to diagnosis of osteogenesis imperfecta
Presentation
  • Symptoms
  • Physical exam
Imaging
  • Radiographs
Treatment
  • Nonoperative
    • observation with elimination of offending activities and cross-training
      • indications
        • stress fractures
    • splint / casting
      • indications
        • minimally displaced fracture
  • Operative
    • ORIF
      • indications
        • displaced fractures
      • technique
        • tension band wiring preferred (better to place a tension band across apophysis than a screw)

 

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Cases

http://upload.orthobullets.com/cases/1130/imag0066.jpg http://upload.orthobullets.com/cases/1130/imag0068.jpg http://upload.orthobullets.com/cases/1130/imag0069.jpg
HPI - 8 years boy with history of full down over Rt elbow since 3 days presented with...
poll what is the option of treatment for fracture olecranon in children
1/16/2012
40 responses
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