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The Fractures of the Olecranon

  • Julie E. Adams
  • Scott P. Steinmann

Abstract

The subcutaneous location of the olecranon makes it vulnerable to trauma [1]. Isolated fractures of the olecranon comprise approximately 10% of fractures about the elbow [2, 3], with an estimated incidence of 1.08 per 10,000 person-years [3]. Most result from low energy trauma such as a fall from a height of less than 2 m, a direct blow to the elbow, or from forced hyperextension [2, 3, 4, 5, 6, 7]. A fall on a partially flexed elbow may generate an avulsion fracture of the olecranon from the pull of the triceps [1]. Amis et al. [7] investigated variable impact mechanisms and the resultant fracture patterns in a cadaveric model. A trend was noted in which radial head and coronoid fractures tended to occur with forearm impacts with the elbow in up to 8o° of flexion [7]. Olecranon fractures occurred with direct blows at 90° of flexion, while injuries occurring with the elbow in > 110° of flexion tended to result in distal humerus fractures [7].

Keywords

Radial Head Hardware Removal Tension Band Wiring Olecranon Fracture Proximal Ulna 
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.

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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Julie E. Adams
    • 1
  • Scott P. Steinmann
    • 1
  1. 1.Department of Orthopedic SurgeryMayo ClinicRochesterUSA

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