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Olecranon Fracture
Kirkland W. Davis, MD, FACR; Andrew Sonin, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Fracture through olecranon process of ulna due to
                  • Direct blow
                  • Distraction injury at triceps insertion

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          • Reporting Tips

                                            Selected References

                                            1. Hanlon DP et al: The emergent evaluation and treatment of elbow and forearm injuries. Emerg Med Clin North Am. 38(1):81-102, 2020
                                            2. Midtgaard KS et al: Elbow fractures. Clin Sports Med. 39(3):623-36, 2020
                                            3. Bartolotta RJ et al: Current fixation options for elbow, forearm, wrist, and hand fractures. Semin Musculoskelet Radiol. 23(2):109-25, 2019
                                            4. Chin TY et al: The acutely injured elbow. Radiol Clin North Am. 57(5):911-30, 2019
                                            5. Wilkerson JA et al: Surgical techniques of olecranon fractures. J Hand Surg Am. 39(8):1606-14, 2014
                                            6. Baecher N et al: Olecranon fractures. J Hand Surg Am. 38(3):593-604, 2013
                                            7. Rouleau DM et al: Management of fractures of the proximal ulna. J Am Acad Orthop Surg. 21(3):149-60, 2013
                                            8. Wenzke DR: MR imaging of the elbow in the injured athlete. Radiol Clin North Am. 51(2):195-213, 2013
                                            9. Wiegand L et al: Fractures in brief: olecranon fractures. Clin Orthop Relat Res. 470(12):3637-41, 2012
                                            10. Huang TW et al: Tension band wiring for olecranon fractures: relative stability of Kirschner wires in various configurations. J Trauma. 68(1):173-6, 2010
                                            11. Buijze G et al: Clinical evaluation of locking compression plate fixation for comminuted olecranon fractures. J Bone Joint Surg Am. 91(10):2416-20, 2009
                                            12. Iannuzzi N et al: Excision and advancement in the treatment of comminuted olecranon fractures. J Orthop Trauma. 23(3):226-8, 2009
                                            13. Kloen P et al: Treatment of proximal ulna and olecranon fractures by dorsal plating. Oper Orthop Traumatol. 21(6):571-85, 2009
                                            14. Newman SD et al: Olecranon fractures. Injury. 40(6):575-81, 2009
                                            15. Veillette CJ et al: Olecranon fractures. Orthop Clin North Am. 39(2):229-36, vii, 2008
                                            16. McKay PL et al: Fractures of the proximal ulna olecranon and coronoid fractures. Hand Clin. 18(1):43-53, 2002
                                            17. Nork SE et al: Surgical treatment of olecranon fractures. Am J Orthop. 30(7):577-86, 2001
                                            18. Hak DJ et al: Olecranon fractures: treatment options. J Am Acad Orthop Surg. 8(4):266-75, 2000
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Definitions

                                                          • Fracture through olecranon process of ulna due to
                                                            • Direct blow
                                                            • Distraction injury at triceps insertion

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Staging, Grading, & Classification

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  • Image Interpretation Pearls

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Hanlon DP et al: The emergent evaluation and treatment of elbow and forearm injuries. Emerg Med Clin North Am. 38(1):81-102, 2020
                                                                                      2. Midtgaard KS et al: Elbow fractures. Clin Sports Med. 39(3):623-36, 2020
                                                                                      3. Bartolotta RJ et al: Current fixation options for elbow, forearm, wrist, and hand fractures. Semin Musculoskelet Radiol. 23(2):109-25, 2019
                                                                                      4. Chin TY et al: The acutely injured elbow. Radiol Clin North Am. 57(5):911-30, 2019
                                                                                      5. Wilkerson JA et al: Surgical techniques of olecranon fractures. J Hand Surg Am. 39(8):1606-14, 2014
                                                                                      6. Baecher N et al: Olecranon fractures. J Hand Surg Am. 38(3):593-604, 2013
                                                                                      7. Rouleau DM et al: Management of fractures of the proximal ulna. J Am Acad Orthop Surg. 21(3):149-60, 2013
                                                                                      8. Wenzke DR: MR imaging of the elbow in the injured athlete. Radiol Clin North Am. 51(2):195-213, 2013
                                                                                      9. Wiegand L et al: Fractures in brief: olecranon fractures. Clin Orthop Relat Res. 470(12):3637-41, 2012
                                                                                      10. Huang TW et al: Tension band wiring for olecranon fractures: relative stability of Kirschner wires in various configurations. J Trauma. 68(1):173-6, 2010
                                                                                      11. Buijze G et al: Clinical evaluation of locking compression plate fixation for comminuted olecranon fractures. J Bone Joint Surg Am. 91(10):2416-20, 2009
                                                                                      12. Iannuzzi N et al: Excision and advancement in the treatment of comminuted olecranon fractures. J Orthop Trauma. 23(3):226-8, 2009
                                                                                      13. Kloen P et al: Treatment of proximal ulna and olecranon fractures by dorsal plating. Oper Orthop Traumatol. 21(6):571-85, 2009
                                                                                      14. Newman SD et al: Olecranon fractures. Injury. 40(6):575-81, 2009
                                                                                      15. Veillette CJ et al: Olecranon fractures. Orthop Clin North Am. 39(2):229-36, vii, 2008
                                                                                      16. McKay PL et al: Fractures of the proximal ulna olecranon and coronoid fractures. Hand Clin. 18(1):43-53, 2002
                                                                                      17. Nork SE et al: Surgical treatment of olecranon fractures. Am J Orthop. 30(7):577-86, 2001
                                                                                      18. Hak DJ et al: Olecranon fractures: treatment options. J Am Acad Orthop Surg. 8(4):266-75, 2000