Saturday, June 11, 2011

Fracture meet: diagnosis and treatment

Meet fracture is a fracture with bone ulna olecranon process. This process is part of the elbow joint which articulates with the trochlea of the humerus bone.

Before reading further, please see the joint Anatomy of the elbow for a better understanding (skip if you have already done).

This fracture occurs in two ways

the fall at the end of forceful contraction of the triceps muscle jointsudden elbow (muscle takes the fragment of bone apart)

Symptoms include

the history of trauma is presentpain and swelling in and around the jointinability elbow to extend the elbow against gravitytenderness is present on the site of fractureolecranon fracture

The diagnosis is confirmed by x-ray. They show the fracture and help in the classification.

Classification of fracture meet is in two main types that are

Undisplaced and stable fracture (also called hair line fractures; gap between the fracture fragments of less than 2 mm; active extension is possible against gravity)Displaced fractures (fracture fragments are separated from each other; active extension against gravity is not possible)

All the fractures without moving are treated by immobilization in a plaster splint for 3 weeks. The elbow is expected to stop at 45 degrees of flexion. After 7 to 10 days of immobilization x RADIUS is done to confirm the position of the fracture.

Three weeks after the brace is removed and a brace is worn. This brace should prevent the movement of the elbow above 90 degrees.

Complete healing takes about 6-8 weeks, after which the movement beyond 90 degrees is allowed.

In older patients (beyond), the elbow is rested on a Sling. A soft crepe bandage is wrapped gently around the elbow, and pain killer are given. Once the pain has decreased, soft movements are encouraged in a brace. After that the fracture has joined the curly brace is removed.

All displaced fractures are treated effectively by attachment of wires, screws or plates. The attachment shall be strong enough for the active mobilization at the start of the elbow joint. This prevents the elbow become rigid.

Complications include

loss of movement of the union of jointnon of the elbow of the fracturearthritis of the elbow jointolecranon fracture

This is an x-ray of a fracture meet which is moved. You can see the gap between the fragments. The rupture occurred after a fall, with the tip of the elbow hitting the ground.

olecranon fracture with tension band wiring

Fracture even after a surgical treatment, tension band wiring.

When can I suspect I have a broken meet?

If after a trauma, you are unable to extend your elbow against gravity then you are probably a fracture meet.

To gain full motion of the elbow joint after this fracture?

Following of young patients under 25 years may if expected to regain full movement of the elbow joint when the fracture is undisplacedfracture does not have several fragmentsactive bone movements are started soon after the operation

Otherwise, a loss of movement is usually inevitable.

How can I prevent the development of arthritis?

Accurate reduction of fragments of bone without any off stage can prevent arthritis. Ask your doctor if bone fragments have been perfectly aligned.

How union not occur and what is its treatment?

Union not can occur when a fracture without moving becomes moved and will unrecognisedthere are fragmentsfixation of multiple fracture fractures after the operation is not rigid enoughactive energetic use of the branch before the age appropriate unionold and the poor state of health

Treatment of the union not East by rigid fixation of the fracture and bone graft.

I hope that the information provided was useful. If you have any query you can ask me to contact me page.

This page was last updated on April 8, 2009.

Other causes of pain elbow...

Radial Head fracture

Extracted from elbow

Dislocation of the elbow

Tennis Elbow

Meet bursitis

Little League elbow

Supracondylar fracture

Lateral Condyle fracture

Fracture of the elbow

Anatomy of elbow Joint

Return back fracture meet elbow pain



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