In this section
Olecranon fracture - Emergency Department
Table 1: Recommended follow-up schedule for olecranon fractures.
Subsequent review appointments
Discharge advice to parents
Within 1 week post- injury (with x-ray)
At 3 weeks post-injury (cast removal with x-ray and mobilise)
At 3 months post-injury (with x-ray and final clinical check)
See GP if any subsequent deterioration in elbow function/development of symptoms
Isolated, displaced/unstable (treated operatively)
At 1 week post-operative with x-ray
May need readmission for removal of metalwork (typically wires) depending on treatment received
At 3 weeks post-operative (cast removal with x-ray and mobilise)
At 6 weeks post-operative for clinical check with x-ray
At 3 months post-operative (to check range of movement (ROM)
At 1 year post-operative (with x-ray and final clinical check)
Consider further review if concerns about growth
Always look for any evidence of a 'missed' injury, especially dislocation of the radial head.
Early: Maintenance of reduction/fixation (x-ray).
Intermediate: Progress with mobilisation (when allowed).
Late: Evidence for disturbed growth (proximal radius if injured).
Always look for any evidence of a 'missed' injury.
Poorer outcome than anticipated by doctor/parents.
Stiffness (failure to regain full elbow ROM).
Proximal radiohumeral dysfunction in combined injuries.
Ulnar nerve injury.
Monteggia variant injuries should be treated by a consultant.
Healed fracture, normal/near normal ROM and no ongoing concerns.
Green NE, Van Zeeland NL. Fractures and dislocations about the elbow. In Green N, Swiontkowski M. Skeletal Trauma in Children, 4th Ed. Saunders Elsevier, Philadelphia 2009. p.207-82