Olecranon Fractures

Olecranon fractures constitute a large proportion of injuries about the elbow. Several fracture patterns are recognized, with each pattern lending itself to a different treatment modality. Currently, there are many options available for treating these injuries ranging from cast immobilization to open reduction and internal fixation with precontoured locked plates. Nondisplaced fractures with an intact extensor mechanism allow a brief period of immobilization with early range of motion. Displaced fractures may be excised or internally fixed with olecranon plates, intramedullary devices, or tension band techniques. Excellent results can be expected if the treating surgeon considers the patient's functional demands and the injury pattern to make treatment decisions.