Question

44 year-old construction worker fell off a ladder and presents with elbow pain. What's the diagnosis and what is the most commonly associated nerve injury? 

 

Answer

Olecranon fracture; the ulnar nerve is most commonly injured

Pearls for Olecranon Fracture

• Typically occurs secondary to direct blow or fall on an outstretched hand
• Patients present with a complaint of pain along the olecranon with an inability to extend the elbow
• Ulnar nerve injury is common.
• Non-displaced fractures are typically managed conservatively with placement in a long-arm posterior splint; elbow must be placed in flexion of 70° and forearm is neutral
• Other types of olecranon injuries require surgical repair 

References

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