Olecranon fractures

Olecranon has little or no muscle or other soft tissue protection, making it vulnerable to damage from falls and impacts. The olecranon is the most prominent of the bones forming the elbow joint, specifically the ulna. It attaches to the triceps and, along with the humerus, constitutes the elbow joint, which is responsible for bending and extending the arm. Olecranon fractures vary in complexity. They can be simple, with no displacement of bone fragments, or complex, with damage to the articular surface of the ulna and displacement of fragments by triceps traction. Such fractures cause a loss of extension in the elbow joint, resulting from the disruption of the triceps' connection with the forearm.
Olecranon fractures
Olecranon fractures are diagnosed using dual-projection X-rays, ensuring an accurate determination of the nature of the injury. Complex splinter fractures may require a computed tomography (CT) scan, to obtain a detailed assessment of the condition of the bony structures and choose the optimal treatment strategy.

Reasons

Fall on a half-bent arm

Direct blow to olecranon

Overextending the elbow

Symptoms

Acute elbow joint pain

Edema and subcutaneous hematoma (bruise) on the back side of the elbow

Impaired elbow joint mobility

In some cases, it’s possible to palpate (feel) displaced bone fragments under the skin

Treatment

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Nonsurgical treatment
This approach is suitable for olecranon fractures without displacement, as well as in cases of severe general condition of the patient when surgery is contraindicated. This involves securing the affected limb in a plaster or polymer cast, applied fr om the hand to the upper third of the shoulder, for 4-6 weeks. In some cases, a hinged orthosis may be used to lim it the range of motion at the elbow joint. After the immobilization period is over, the patient should begin rehabilitation immediately. This helps restore elbow joint mobility and prevents contractures.
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Surgical treatment
Surgical treatment is indicated in cases of displaced fractures, the need for early rehabilitation and limb function recovery (e.g., athletes or patients with multiple fractures in different areas), and open fractures. Since any olecranon fracture is intra-articular, surgical intervention is performed based on the following principles: precise restoration of the articular surface (anatomical repositioning), secure fixation, and establishing conditions for early rehabilitation. The most common surgical treatment is Weber osteosynthesis using wires and loops. This is used for simple (bifragmentary, transverse) fractures. Our clinic uses CT to assess fractures, which means we often see multifragmentary fractures and articular surface indentations that aren't always visible on X-rays. This means Weber osteosynthesis isn't as common, and osteosynthesis using locked plates is preferred.

How to reach

Address
Moscow, 1st Yamskogo Polya Street, 15
Operating hours
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How to get

From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.

Travel time

9 minutes

Landmark

Olympus Clinic MARS sign


How to get

From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS

Travel time

11 minutes

Landmark

Olympus Clinic MARS sign


Address
7/1 Sadovaya-Sukharevskaya str., 129090, Moscow
Operating hours
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From the metro station "Tsvetnoy Bulvar"

1 exit to the city, then left to the Garden Ring, at the crossing to the right, crossing the boulevard, one more crossing and at the traffic light to the left. The Olymp Clinic building is located overlooking the Garden Ring to the right of the crossing. Travel time is approximately 9 minutes. Landmark - sign Olymp Clini

From the metro station "Sukharevskaya"

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Parking lot map

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Как добраться
Address
Moscow, 125124, Chapaevsky lane, 3
Operating hours
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From Sokol metro station

The last car from the center: follow the signs for Exit 5. From the glass doors to the right and go to the end of the passage. Exit to the city by the steps to the left. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn right (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.

Travel time

10-12 minutes

From the Airport metro station

The first car from the center: follow the Exit 2-3 signs. Turn left out of the glass doors and walk to the end of the passage. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn left (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.

Travel time

12-15 minutes

How to get

Entry to the territory is prohibited, but there are free city parking lots around the Triumph Palace residential complex, where you can easily find a place for your car. Free parking area:

Как добраться