Olecranon Fractures

  • Odysseas Paxinos
  • Theodoros H. Tosounidis
  • Peter V. GiannoudisEmail author


Olecranon fractures are common injuries. Their management requires prompt attention with detailed clinical and radiological evaluation. Appropriate pre-operative planning is essential in order to select the correct implant for the right fracture pattern. In this chapter the principles of fracture reduction and fixation are discussed in order to avoid pitfalls and post fracture fixation complications.


Olecranon Fractures Coronoid Fracture Major Fracture Line Pointed Reduction Clamp Open Reduction Manoeuvres 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of Interest

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this chapter.


  1. 1.
    Morrey BF, Sanchez-Sotelo J. The elbow and its disorders. 4th ed. Bone 2010:13-42.Google Scholar
  2. 2.
    Schneider MM, Nowak TE, Bastian L, et al. Tension band wiring in olecranon fractures: the myth of technical simplicity and osteosynthetical perfection. Int Orthop. 2014;38(4):847–55. Scholar
  3. 3.
    Ferreira LM, Bell TH, Johnson JA, King GJW. The effect of triceps repair techniques following olecranon excision on elbow stability and extension strength: an in vitro biomechanical study. J Orthop Trauma. 2011;25:420–4. Scholar
  4. 4.
    Doornberg JN, Ring D. Coronoid fracture patterns. J Hand Surg Am. 2006;31(1):45–52. Scholar
  5. 5.
    Ikeda M, Fukushima Y, Kobayashi Y, Oka Y. Comminuted fractures of the olecranon. Management by bone graft from the iliac crest and multiple tension-band wiring. J Bone Jt Surg Br. 2001;83(6):805–8. Scholar
  6. 6.
    Powell AJ, Farhan-Alanie OM, Bryceland JK, Nunn T. The treatment of olecranon fractures in adults. Musculoskelet Surg. 2017;101(1):1–9. Scholar
  7. 7.
    Matar HE, Ali AA, Buckley S, Garlick NI, Atkinson HD. Surgical interventions for treating fractures of the olecranon in adults. Cochrane Database Syst Rev. 2014;11:CD010144. CrossRefGoogle Scholar
  8. 8.
    Huang T-W, C-C W, Fan K-F, Tseng I-C, Lee P-C, Chou Y-C. Tension band wiring for olecranon fractures: relative stability of kirschner wires in various configurations. J Trauma Inj Infect Crit Care. 2010;68(1):173–6. Scholar
  9. 9.
    King GJ, Lammens PN, Milne a D, Roth JH, J a J. Plate fixation of comminuted olecranon fractures: an in vitro biomechanical study. J Shoulder Elb Surg. 1996;5(6):437–41. Scholar
  10. 10.
    Iannuzzi N, Dahners L. Excision and advancement in the treatment of comminuted olecranon fractures. J Orthop Trauma. 2009;23(3):226–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Odysseas Paxinos
    • 1
  • Theodoros H. Tosounidis
    • 2
  • Peter V. Giannoudis
    • 2
    • 3
    Email author
  1. 1.251 Hellenic Air Force HospitalAthensGreece
  2. 2.Academic Department of Trauma and OrthopaedicsSchool of Medicine, University of LeedsLeedsUK
  3. 3.NIHR, Leeds, Musculoskeletal Biomedical Research Center, Chapel Allerton HospitalLeedsUK

Personalised recommendations