Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right elbow pain following a mechanical fall onto the posterior aspect of the elbow. Reports localized swelling, inability to extend the elbow against gravity, and significant tenderness over the olecranon process. No reported numbness or tingling in the hand.
Clinical Examination Findings
Right elbow inspection reveals significant edema and ecchymosis over the olecranon. Palpation confirms a palpable gap at the olecranon process with exquisite tenderness. Active extension of the elbow is absent. Distal neurovascular status is intact with palpable radial and ulnar pulses; capillary refill <2 seconds; sensation intact to light touch in median, ulnar, and radial nerve distributions.
Treatment Protocol
Immobilization of the right elbow in a posterior splint at 30-45 degrees of flexion. Analgesia provided. Radiographs reviewed confirming closed olecranon fracture. Orthopedic surgery consultation initiated for definitive management (ORIF vs. conservative). Strict elevation and ice application advised.