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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 12/2012

01-12-2012 | In Brief

Fractures in Brief: Olecranon Fractures

Authors: Laura Wiegand, MD, Joseph Bernstein, MD, Jaimo Ahn, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 12/2012

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Excerpt

Olecranon fractures are relatively common injuries, accounting for approximately 10% of upper extremity fractures in adults [26]. These fractures may result from a direct blow to the proximal ulna, or indirectly, via the forceful contraction of the triceps against resistance (typically, during a fall onto an outstretched hand). Less commonly, the olecranon may fracture when the elbow is hyperextended, as the bone is impacted against the olecranon fossa of the distal humerus. For unstable injuries, operative fixation typically is required. Even after recovery, loss of ROM is not uncommon. This article provides an overview of olecranon fractures in adults; therefore, discussion of olecranon fractures in skeletally immature patients is beyond the scope of this article. …
Literature
1.
An KN, Morrey BF, Chao EY. The effect of partial removal of proximal ulna on elbow constraint. Clin Orthop Relat Res. 1986;209:270–279.PubMed
2.
Audigé L, Bhandari M, Kellam J. How reliable are reliability studies of fracture classifications? A systematic review of their methodologies. Acta Orthop Scand. 2004;75:184–194.PubMedCrossRef
3.
Bailey CS, MacDermid J, Patterson SD, King GJ. Outcome of plate fixation of olecranon fractures. J Orthop Trauma. 2001;15:542–548.PubMedCrossRef
4.
Bernstein J, Monaghan BA, Silber JS, DeLong WG. Taxonomy and treatment: a classification of fracture classifications. J Bone Joint Surg Br. 1997;79:706-707; discussion 708–709.PubMedCrossRef
5.
Buijze GA, Blankevoort L, Tuijthof G, Sierevelt IN, Kloen P. Biomechanical evaluation of fixation of comminuted olecranon fractures: one-third tubular versus locking compression plating. Arch Orthop Trauma Surg. 2010;130:459–464.PubMedCrossRef
6.
Buijze G, Kloen P. Clinical evaluation of locking compression plate fixation for comminuted olecranon fractures. J Bone Joint Surg Am. 2009;91:2416–2420.PubMedCrossRef
7.
Edwards SG, Argintar E, Lamb J. Management of comminuted proximal ulna fracture-dislocations using a multiplanar locking intramedullary nail. Tech Hand Up Extrem Surg. 2011;15:106–114.PubMedCrossRef
8.
Finsen V, Lingaas PS, Storro S. AO tension-band osteosynthesis of displaced olecranon fractures. Orthopedics. 2000; 23:1069–1072.PubMed
9.
Hume MC, Wiss DA. Olecranon fractures: a clinical and radiographic comparison of tension band wiring and plate fixation. Clin Orthop Relat Res. 1992;285:229–235.PubMed
10.
Hutchinson DT, Horwitz DS, Ha G, Thomas CW, Bachus KN. Cyclic loading of olecranon fracture fixation constructs. J Bone Joint Surg Am. 2003;85:831–837.PubMed
11.
Inhofe PD, Howard TC. The treatment of olecranon fractures by excision of fragments and repair of the extensor mechanism: historical review and report of 12 fractures. Orthopedics. 1993;16:1313–1317.PubMed
12.
Johnson RP, Roetker A, Schwab JP. Olecranon fractures treated with AO screw and tension bands. Orthopaedics. 1986; 9:66–68.
13.
Karlsson MK, Hasserius R, Karlsson C, Besjakov, Josefsson PO. Fractures of the olecranon: a 15- to 25-year followup of 73 patients. Clin Orthop Relat Res. 2002;403:205–212.PubMedCrossRef
14.
Llusá M, Merí À, Ruano D, Osteology. In: Cabanela M, Mendoza SA, Sanchez-Sotelo J, translation eds. Surgical Atlas of the Musculoskeletal System. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2008:63–64.
15.
McKeever FM, Buck RM. Fracture of the olecranon process of the ulna: treatment by excision of fragment and repair of triceps tendon. J Am Med Assoc. 1947;135:1–5.PubMedCrossRef
16.
Molloy S, Jasper LE, Elliot DS, Brumback RJ, Belkoff SM. Biomechanical evaluation of intramedullary nail versus tension band fixation for transverse olecranon fractures. J Orthop Trauma. 2004;18:170–174.PubMedCrossRef
17.
Morrey BF. Current concepts in the treatment of fractures of the radial head, the olecranon, and the coronoid. Instr Course Lect. 1995;44:175–185.PubMed
18.
Müller ME, Allgöwer M, Schneider R, Willenegger H, eds. Manual of Internal Fixation: Techniques Recommended by the AO-ASIF Group, 3 rd ed. Berlin, Germany: Springer-Verlag. 1991.
19.
Mullett JH, Shannon F, Nöel J, Lawlor G, Lee TC, O’Rourke SK. K-wire position in tension band wiring of the olecranon: a comparison of two techniques. Injury. 2000;31:427–431.PubMedCrossRef
20.
21.
Nork SE, Jones CB, Henley MB. Surgical treatment of olecranon fractures. Am J Orthop (Belle Mead NJ). 2001;30:577–586.
22.
Nowak TE, Burkhart KJ, Mueller LP, Mattyasovszky SG, Andres T, Sternstein W, Rommens PM. New intramedullary locking nail for olecranon fracture fixation: an in vitro biomechanical comparison with tension band wiring. J Trauma. 2010;69:E56–E61.PubMedCrossRef
23.
Papagelopoulos PJ, Morrey BF. Treatment of nonunion of olecranon fractures. J Bone Joint Surg Br. 1994;76:627–635.PubMed
24.
Ring D. Elbow fractures and dislocations. In: Bucholz RW, Court-Brown CM, Heckman JD, Tornetta 3rd P, McQueen M, Ricci WM, eds. Rockwood and Green’s Fractures in Adults. 7th ed, Vol 1. New York, NY: Lippincott Williams and Wilkins; 2009:905–944.
25.
Romero JM, Miran A, Jensen CH. Complications and reoperation rate after tension-band wiring of olecranon fractures. J Orthop Sci. 2000;5:318–320.PubMedCrossRef
26.
Rommens PM, Kuchle R, Schneider RU, Reuter M. Olecranon fractures in adults: factors influencing outcome. Injury. 2004;35:1149–1157.PubMedCrossRef
27.
28.
Schatzker J. Fractures of the olecranon. In: Schatzker J, Tile M, eds. The Rationale of Operative Fracture Care. New York, NY: Springer-Verlag; 1996:113–119.CrossRef
29.
Simpson NS, Goodman LA, Jupiter JB. Contoured LCDC plating of the proximal ulna. Injury. 1996;27:411–417.PubMedCrossRef
30.
van der Linden SC, van Kampen A, Jaarsma RL. K-wire position in tension-band wiring technique affects stability of wires and long-term outcome in surgical treatment of olecranon fractures. J Shoulder Elbow Surg. 2012;21:405–411.PubMedCrossRef
31.
Veillette CJ, Steinmann SP. Olecranon fractures. Orthop Clin North Am. 2008;39:229–236, vii.
32.
Weber BG, Vasey H. [Osteosynthesis in olecranon fractures] [in German]. Z Unfallmed Berufskr. 1963;56:90–96.PubMed
33.
Wolfgang G, Burke F, Bush D, Parenti J, Perry J, LaFollette B, Lillmars S. Surgical treatment of displaced olecranon fractures by tension band wiring technique. Clin Orthop Relat Res. 1987;224:192–204.PubMed
Metadata
Title
Fractures in Brief: Olecranon Fractures
Authors
Laura Wiegand, MD
Joseph Bernstein, MD
Jaimo Ahn, MD, PhD
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 12/2012
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-012-2393-5

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