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Elbow Fracture

What is an Elbow Fracture?

Elbow fractures are common injuries that can occur in various ways. One common type is known as intercondylar fractures, which resemble the letters T or Y. These fractures happen when the bone in the upper arm (humerus) breaks around the area where the elbow bends.

Elbow injuries and fractures are common and are often accompanied by damage to the shoulder or wrist joints. Surgery is often recommended as the best course of action following an elbow fracture, especially if there is evidence of nerve or vascular involvement. For more complex fractures, a procedure called open reduction and internal fixation may be necessary.

What does an Elbow Fracture feel like?

Signs and Symptoms of Elbow Intercondylar Fractures may include:

  • Sudden, intense pain
  • Swelling of the elbow and surrounding tissues
  • Limited range of motion, particularly in forearm rotation and elbow extension, with pain increasing during these movements
  • The arm may appear shorter and be stuck in pronation (palm facing down), unable to be moved
  • Inability to straighten the elbow
  • Tenderness in the elbow area
  • A grating, cracking, or popping sensation when the condyles are pressed together
  • Numbness in one or more fingers

What causes Elbow Fracture?

Elbow fractures usually occur due to a direct impact, such as falling directly onto the elbow, or an indirect impact, like landing on the wrist with the arm straight. This causes the bony point of the elbow, called the olecranon, to wedge between the two condyles of the humerus (the two rounded parts of the upper arm bone).

What are the surgical options for Elbow Fracture?

Elbow intercondylar fractures are confirmed through X-rays to assess the severity of the injury and any related damage. 

Surgery is often recommended as the best course of action following an elbow fracture, especially if there is evidence of nerve or vascular involvement. For more complex fractures, a procedure called open reduction and internal fixation may be needed.

Open Reduction and Internal Fixation 

During the procedure, an incision is made at the back of the elbow. The bone fragments are first repositioned into their normal alignment and then held in place with a plate attached to the outer bone using pins and screws. In some cases, a screw or rod is inserted into the bone to keep the bone fragments aligned during healing.

In cases where bone fragments are missing or severely damaged, a bone filler may be required. This can be sourced from the patient (typically taken from the pelvis), a bone bank, or by using an artificial calcium-containing material. 

Following the closure of the incision, a splint may be placed on the arm, depending on the severity of the injury.

Most patients regain full elbow range of motion post-surgery and can return to normal activities within four to six months. However, complete healing and a return to sports may take longer.

Elbow Fractures in Children

Diagnosing elbow fractures in children can be challenging due to the delayed ossification (bone formation) of the radial head (the head of the forearm bone), which typically doesn’t occur until around the age of four. These fractures may also be associated with ulna shaft fractures, sometimes requiring an ultrasound or MRI for confirmation of the diagnosis.

Contact Us

For further inquiries or to arrange a consultation, please contact Professor Al Muderis’ office at +61 2 88829011 or book an appointment online.