Fracture - olecranon fractures

General notes

• Beware Monteggia variants/associated radial neck injuries

• The Monteggia fracture is a fracture of the proximal third of the ulna with subluxation/dislocation of the proximal head of the radius

Isolated, undisplaced/stable fracture

Above elbow plaster of paris backslab applied

 First appointment

• 7 - 10 days post-injury (with x-ray)

Fracture clinic review

• At 4 weeks post injury (cast removal with x-ray and mobilise)

Discharge advice for family

• See GP if any subsequent deterioration in elbow function/development of symptoms

Displaced/unstable/combined injuries (treated operatively)

 First appointment

• At 7-10 post operative for wound check and x-ray

Fracture clinic review

• At 6 weeks post operative (cast removal with x-ray mobilisation and plan for metalware removal if present)

Discharge advice for family

• See GP if any subsequent deterioration in elbow function/development of symptoms