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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Olecranon Fractures

Elbow Fractures

A 45-year-old man falls directly onto his elbow while cycling. He presents with posterior elbow pain, swelling, and inability to extend the elbow against gravity. Examination reveals a palpable gap at the olecranon with the arm held in flexion. There is no neurovascular deficit. Radiographs show a transverse olecranon fracture displaced 8mm with the proximal fragment pulled superiorly. Regarding olecranon fractures:

Mark each as TRUE or FALSE

A

The olecranon is the insertion of the triceps mechanism and forms the posterior buttress of the grea...

B

Tension band wiring (TBW) converts the tensile force of the triceps into a compressive force across ...

C

Non-operative treatment is preferred for all displaced olecranon fractures; tension band wiring is b...

D

Plate fixation is indicated for comminuted fractures, oblique fracture patterns, fracture-dislocatio...

E

Complications include hardware prominence requiring removal (up to 80% for TBW), loss of fixation, n...

Answer the questions to see explanations

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