If the fracture is displaced, a so-called “reduction” (pushing the bones back into place) will be required. If the fracture is not displaced, a simple cast is likely to be applied for 3–6 weeks with periodic radiographs. There are several different treatment options depending on the fracture and how severe it is. These fractures are often managed with simple casting, reserving surgery only for those that are severely displaced or angulated. The force of the fall is transmitted from the hand, up the arm to the elbow joint. This fracture is common in children who fall on an outstretched hand. Radial Neck Fractures: This is a break of one of the forearm bones near the elbow joint.With little muscle or soft tissue covering the bone, it is a common fracture with direct trauma to the elbow. Olecranon Fractures: These breaks occur on the bony tip of the elbow.While the majority of them can be managed with a simple manipulation and cast application, some will require surgical fixation. These injuries require immediate attention. Fracture Dislocation: A dislocation of the joint between the radius and the humerus with a fracture at the proximal aspect of the ulna bone is called a Monteggia fracture.If these fractures are displaced, they often require surgery to realign the joint properly. The most common is a break on the outside or lateral condyle. Condyle Fracture: These are breaks of the bony prominences of the elbow.While the great majority of these fractures can be managed with manipulation and casting, the most severe one will require surgical manipulation and fixation with pins. These fractures are not only the most common elbow fractures in children under 8 years of age, but also the most serious since some of them can cause problems with circulation and nerve function.
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