Olecranon Fracture: Intramedullary Screw

Abstract

Olecranon fractures are uncommon injuries in the pediatric population. A majority of displaced fractures, those associated with dislocations or elbow instability, and open fractures should be managed operatively. Tension band wiring, intramedullary screw, and plate fixation are the most common constructs used for olecranon fractures. For transverse fracture patterns without comminution, intramedullary screw fixation with a supplemental suture tension band provides increased compression across the fracture site while limiting hardware prominence when compared to the traditional tension band wiring technique. This technique is an excellent option for patients where symptomatic hardware is a concern.