Olecranon fracture

Case contributed by Leonardo Lustosa
Diagnosis certain

Presentation

Motorcycle accident. Direct trauma to the elbow. Left shoulder and elbow pain.

Patient Data

Age: 40 years
Gender: Male

Presentation

x-ray

Radiograph was performed with great limitations due to the patient's clinical status.

Elbow radiograph revealed a displaced non-comminuted olecranon fracture, there was no subluxation. This characterizes a Mayo type IIA olecranon fracture.

Closed reduction

x-ray

The fragment is reduced after closed reduction and immobilization. This is not the definitive treatment.

Case Discussion

Olecranon fractures usually result from direct trauma to the olecranon itself.

In the present case, the patient fell from his motorcycle onto his flexed elbow. The olecranon was fractured. The patient also presented a proximal humeral fracture.

The closed reduction and immobilization are not the definitive treatment, the patient will undergo later surgery for both fractures.

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