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Fracture of the olecranon of the ulna

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What is the fracture of the olecranon of the ulna?

Under the action of sharp force traumatic is the destruction of bone in the area of the elbow. Such injuries account for approximately 3.5% of the total number of fractures of skeletal bones.

There was a fracture most often, when a bad fall on the set aside and bent at the elbow, or when you hit the bone.

Sometimes, for whatever reason, a sharp reduction in triceps shoulder muscles can produce to the violation of the integrity of the protruding part of the bone.


What happens during a fracture of the olecranon?

Almost always the fracture happens inside the joint. If you damage the tendon in the area of the triceps not, tomasina part mix close and is unobtrusive. In case of rupture of the tendon, the muscle contracts and pulls the debris.

Happen fractures with simultaneous dislocation of the head, called the damage Malena.


The symptoms of fracture of the olecranon

On examination, the patient reveals such characteristics:

  • The damaged joint is deformed, there is a swelling.
  • The movement in this location is restricted (the extension is not until the end).
  • The joint is visible under the skin hemorrhage.
  • During the probing process of the injured feel pain.
  • In case of the displaced fracture of the protruding portion becomes sunken.

Pain syndrome makes the patient keep the arm in hanging position.


Diagnosis

Observed pain on palpation of the Appendix. If there is fracture with displacement, between atomtime you can feel the emptiness. When trying to bend the arm at the injured site pain, which increases at the time of rectification. In the absence of displacement freedom of movement a bit more.

X-ray examination carried out to ascertain the scale of the damage. And do it in two projections. The first is the area of the forearm in its upper part, and the second – placemuscle attachment of the humerus. This is done in order to find out whether there was the case of the displaced fracture is rupture of the annular ligament.

Note that some patients in a damaged site of bone formation and sesamoid (irregular) bone and epiphyseal cartilage plate is only in children and young people up to 20 years.

Treatment of fracture of the olecranon of the ulna

The plaster

In case of fracture of bone without displacement is assigned to conservative treatment. The place of injury, apply a dressing of gypsum, which covers the third part of the shoulder (top) together with the arm (to the wrist joint). The arm is bent at an angle of about 1200 and so record.

For loose joints the physician prescribes the movement from the first days, as the damaged area begins to develop after 2 weeks. To do this, temporarily remove the blindfold and make cautious extension with return to former position. Then the plaster is put in place.

Similarly, is the treatment, if there is a displacement of fragments, but only slightly. A hand fixed in the position in which the fragments take their places. For full recovery of the bone tissue takes 3 to 4 weeks.

Surgery

When severe displacement of fragments required surgery. It applies if atomtime have a distance of 2 mm or more or they are offset to the side. Surgical intervention is required for fractures with multiple fragments. After determining the type of damage selected the most appropriate method of treatment in which you can begin movement in the injured place as soon as possible. For the treatment of fracture fixation is used, that is bonded to bone two spokes and titanium wire. The operation can be performed immediately after the patient was admitted to the Department.

After anesthesia is an incision over the damaged place. Using it removed all the blood clots and very small bone particles. Fragments correct with respect to each other in the correct position using a single-tooth hook. Using drills impose two spokes. At a distance of at least 3 cm from the fracture drilled holes for pulling wire, binding fragments. The ends of the wire twisted with pliers. Over the ulnar process of the leaves no more than 2 cm in length spokes, the rest skyiwwt. The ends are bent toward the bone.

The operated limb is fixed with a kerchief. After about 5 days it is recommended to start to move the arm. Full rehabilitation of motor abilities occurs within 5 weeks.

The metal elements of the fastener is removed under local anaesthesia not earlier than after 3 months.

In fractures in which there is damage to Montegi, osteosynthesis is carried out, using a long pin. The head of the radius pre-set.

In the case of fragmentation of the olecranon and the separation of it at the top of all fragments were removed and the tendon stretching of the biceps is fixed. Carry out the fixation with the help of sutures in the area of the ulna where specially drilled holes. Fixing stitches are also on the fascia and the periosteum. After the operation, carried out fixation hands for 3 weeks at an angle of about 1550. Then comes the recovery period.

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The consequences

Incorrectly or poorly healed fractures can be the cause of impaired motor functions. If the restore function doesn't help therapeutic and rehabilitation complex, this case also applies to surgical treatment. Through a longitudinal incision all the fragments return to the correct position and fasten them. If a bad process is in place, then carry out the fixation of the tendon.

Old age is not an obstacle to conduct operations on the olecranon. It is also possible its removal and subsequent recovery of motor function.

At the turn you need to contact the clinic to see the surgeon or the traumatologist