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Elbow Fracture: Olecranon Fracture

What is an olecranon fracture?

An olecranon fracture is a break in the bony tip that you feel directly under the skin of the elbow. The break may be just a bend or small crack in the bone, or the bone may break into pieces or shatter. Some fractures may stick out through the skin.

What is the cause?

The usual causes of a broken elbow are a fall or a direct hit to the elbow. A fracture may also be the result of a medical condition that causes weak or brittle bones.

What are the symptoms?

Symptoms may include:

  • Pain, swelling, bruising, or tenderness that happens right after the injury
  • Pain when the injured area is touched
  • Pain or swelling that keeps you from bending or using your arm
  • An area of the elbow or forearm that is cold, pale, or numb
  • A change in the shape of the elbow

How is it diagnosed?

Your healthcare provider will ask about your symptoms and how the injury happened. Your provider will examine you. Tests may include:

  • X-rays of the elbow
  • CT scan, which uses X-rays and a computer to show detailed pictures of the bones
  • MRI, which uses a strong magnetic field and radio waves to show detailed pictures of the bones

How is it treated?

The treatment depends on the injury.

  • If you have an open wound with the fracture, you may need treatment to control bleeding or prevent infection.
  • If just a small piece of bone is broken at the end of the bone, it may be treated with just a splint or cast. If a larger part of the bone is broken, or if the break goes into the joint, you may need surgery to repair the bone. Your healthcare provider may use a pin or screw to keep the repaired bone in place.
  • Sometimes the injured bone gets dislocated, which means it has moved out of place in the elbow joint. If the joint is dislocated, then it will need to be put back into place. You will be given medicine first so putting the joint back into place is less painful.
  • Your arm may need to be in a sling as well as a splint or cast to keep it from moving while it heals. If you have a cast, make sure the cast does not get wet. Cover the cast with plastic when you bathe. Avoid scratching the skin around the cast or poking things down between the cast and your skin. This could cause an infection.

With treatment, the fracture may take up to several months to heal. You may need to do special exercises to help your arm get stronger and more flexible. Ask your healthcare provider about this.

How can I take care of myself?

Follow the full course of treatment your healthcare provider prescribes. Also:

  • To keep swelling down and help relieve pain, your healthcare provider may tell you to:
    • Put an ice pack, gel pack, or package of frozen vegetables wrapped in a cloth on the injured area every 3 to 4 hours for up to 20 minutes at a time for the first day or two after the injury.
    • Keep the arm up on pillows when you sit or lie down.
    • Take pain medicine, such as ibuprofen, as directed by your provider. Nonsteroidal anti-inflammatory medicines (NSAIDs), such as ibuprofen, may cause stomach bleeding and other problems. These risks increase with age. Read the label and take as directed. Unless recommended by your healthcare provider, you should not take this medicine for more than 10 days.

Ask your healthcare provider:

  • How and when you will hear your test results
  • How long it will take to recover
  • What activities you should avoid and when you can return to your normal activities
  • How to take care of yourself at home
  • What symptoms or problems you should watch for and what to do if you have them

Make sure you know when you should come back for a checkup.

How can I help prevent a broken elbow?

Most broken elbows are caused by accidents that are not easy to prevent. Be careful when you walk or exercise. Knee pads, elbow pads, and a helmet can help prevent injuries during activities like biking, rollerblading, or skateboarding.

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Published by RelayHealth.
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