Olecranon Fracture

The Olecranon process is part of the Ulna (forearm bone) which can be felt as the large bony prominence at the back of the elbow. There is very little protection in this area and so it can easily be fractured from a direct impact on fall onto the bent elbow.

An Olecranon fracture can also occur due to a forceful contraction of the Triceps muscle which attaches to it. This may happen when falling onto an outstretched hand, with the elbow bent.

Symptoms of an Olecranon Fracture

  • Sudden intense pain at the back of the elbow.
  • Inability to straighten the elbow (in most cases).
  • Pain on trying to move the elbow.
  • Tender the touch the area at the back of the elbow.
  • Swelling - especially around the back of the joint.
  • Bruising may start to appear.

Treatment

  • X-rays will be used to determine the extent of displacement of the fractured bone segment.
  • Pain medication and a sling may be used in the meantime.
  • If the fragment is not displaced the elbow is immobilised in a splint or cast to allow healing.
  • If the fragment is displaced, surgery may be performed to realign and fix the bone fragment.