Other Fractures

Other fractures can be managed in the following ways:

Radial head fractures

Undisplaced radial head fractures can be managed with a collar and cuff sling and orthopaedic outpatient follow-up.

Further management generally consists of early mobilization to prevent loss of elbow extension. Comminuted or displaced fractures may require manipulation under anaesthetic or internal fixation. Occasionally the radial head may need to be excised and replaced.

Radial neck fractures are seen more commonly in children and are managed similar to radial head fractures. Greater than 20 degrees of angulation in the adult requires reduction.

Fig. 2 Radial head fracture

Olecranon fractures

Undisplaced olecranon fractures can be managed with a back slab in 90 degrees of elbow flexion and orthopaedic clinic follow-up.

Displaced fractures (>2mm) and those with comminution are more likely to require operative fixation and therefore warrant orthopaedic referral.

Learning bite

Undisplaced radial head and olecranon fractures may be managed conservatively.

Fig. 2 Olecranon Fracture

Monteggia fracture-dislocation

Monteggia fracture-dislocation injuries should be referred for reduction and internal fixation.