If you think you have suffered an elbow fracture, a thorough history and examination should be performed by an orthopedic specialist. Our Walk-In Anytime Ortho Orthopedic Urgent Care Clinic is a convenient affordable way to get an accurate diagnosis and prompt treatment without having to go through the hassle and costs of a hospital emergency room.
Elbow fractures are diagnosed using imaging techniques such as X-rays, CT scan, or MRI. X-rays are important to determine the characteristics of the dislocation or if there is a fracture. MRI of the elbow can identify the extent of any ligament or soft tissue injury.
Treatment options for elbow fractures will be discussed between the patient and the orthopedic specialist. The best treatment depends on factors such as fracture type and patient age.
- Closed reduction without manipulation - If the fracture is in a good position, simple elbow fractures may be treated with temporary immobilization in a sling or splint; followed by range of motion and physical therapy.
- Closed reduction and percutaneous pinning – If the fracture is out of place, is able to be reduced into position without making an incision, but the fracture position cannot be held in place with just a cast, a closed reduction percutaneous pinning may sometimes be performed. This involves going to the operating room and pushing the fracture fragments back into place. X-ray is used to make sure that the pieces are lined up properly. Pins are then inserted to hold the pieces reduced. A splint or cast is placed in the operating room. The pins are kept in place for 4-6 weeks and are removed in the office.
- Open reduction and internal fixation - This involves making an incision over the elbow fracture that is not in good alignment, then reducing the broken fragments into good position under direct visualization. The fracture is then held in place with either a plate and screws or pins.
After the elbow has been reduced and repaired, the elbow is placed in a splint to allow swelling to improve. Any cast or splint applied during surgery for repair of a fracture should be kept in place until the first postoperative visit. The length of time that a cast, splint, or brace needs to be used after surgery depends on the type of surgery and the stability of the fracture fragments. X-rays are taken at each office visit to monitor the position of the fracture and hardware and to monitor the healing of the bones. Therapy may be recommended to help to regain range of motion of the elbow.
**Disclaimer: Treatment recommendations may vary depending on your true diagnosis. Always follow the recommendations of your orthopedic provider.
