Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute left elbow pain following a fall onto the outstretched hand/direct trauma. Reports localized swelling, ecchymosis, and inability to extend the elbow against gravity. Denies numbness, tingling, or vascular compromise in the distal extremity.
Clinical Examination Findings
Left elbow: Significant edema and ecchymosis noted over the olecranon process. Point tenderness elicited upon palpation of the olecranon. Active extension is absent or severely limited. Distal neurovascular status intact: radial pulse 2+, capillary refill <2 seconds, sensation intact to light touch in median, ulnar, and radial nerve distributions.
Treatment Protocol
Immobilization in a posterior long-arm splint with the elbow in 45-90 degrees of flexion. Analgesia prescribed. Orthopedic surgery consultation requested for evaluation of fracture displacement and potential operative fixation (ORIF). Ice application and elevation instructed.