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Hand & Upper Limb
intermediate
X-Type

Olecranon Fracture

Elbow Trauma

A 55-year-old man falls directly onto his elbow and presents with posterior elbow pain and swelling. He cannot extend his elbow against gravity. Radiographs show a transverse fracture through the olecranon with 8mm displacement. There is no associated coronoid or radial head fracture. Regarding olecranon fractures:

Mark each as TRUE or FALSE

A

Olecranon fractures account for 10% of upper extremity fractures; they occur by direct trauma (fall ...

B

The Mayo classification considers fracture displacement, stability, and comminution: Type I (non-dis...

C

Olecranon fractures are rare; they result only from indirect mechanism; the biceps inserts on the ol...

D

Surgical options include: tension-band wiring (TBW) for simple transverse fractures (converts tensil...

E

Tension-band wiring uses the principle that the triceps pull creates tensile forces posteriorly whic...

Answer the questions to see explanations

Click T (True) or F (False) for each option