5/2/2023 0 Comments Closed fractureStress fractures of the first to fourth metatarsal shafts typically heal well with rest alone and usually do not require immobilization. Nondisplaced fractures of the metatarsal shaft usually require only a soft dressing followed by a firm, supportive shoe and progressive weight bearing. Injuries to this ligament require referral or specific treatment based on severity. If the midfoot is injured, care should be taken to evaluate the Lisfranc ligament. Referral is generally indicated for intra-articular or displaced metatarsal fractures, as well as most fractures that involve the first metatarsal or multiple metatarsals. The fracture should then be characterized and treatment initiated. Initial evaluation should focus on identifying any conditions that require emergent referral, such as neurovascular compromise and open fractures. Early motion begins immediately following surgery and usually is assisted by occupational therapy or physical therapy.Patients with metatarsal fractures often present to primary care settings. The pieces are then put together and held in place in different ways: pins/wires, screws only or plates and screws. Surgery is often performed through an incision over the back of the elbow that allows full access to the fractures. If the fracture is displaced or the fracture is open (bone is exposed through the skin), surgery is usually necessary. For this reason, nonsurgical treatment is rarely recommended. Because of the prolonged splinting time, the elbow may become very stiff and require a longer period of therapy after the cast is removed to regain motion. Weight lifting and bearing will not be allowed for several weeks. If the fracture is not displaced (out of place), you may be allowed to start gently moving the elbow with the assistance of a physical therapist after a few weeks. The doctor will closely monitor the healing of the fracture and have you frequently return to clinic for X-rays. Nonsurgical TreatmentĪ splint or sling is used to hold the elbow in place during the healing process. There are usually two treatments for elbow fractures depending on the fracture pattern, displacement and joint involvement. What is the treatment for olecranon fracture? Sudden intense pain with inability to straighten the elbow What are the symptoms of an elbow fracture? The latter is mostly secondary to landing on an outstretched arm. This type of fracture is common and usually occurs in isolation (there are no other injuries) but can also be a part of a more complex elbow injury.Īn olecranon fracture can occur through a direct blow (i.e., fall on the elbow or direct impact from an object) or indirect blow. It bends and straightens like a hinge, but it is also important for rotation of the forearm that is, the ability to turn our hands up (like accepting change from a cashier) or down (like typing or playing piano).Īn olecranon fracture is a break in the “pointy bone” of your elbow that sticks out when you bend your arm, which is actually the end of the ulna. The elbow joint is made up of three bones, the humerus (upper arm bone), ulna (first of two forearm bones on pinky side) and radius (second of two forearm bones on thumb side) and is held together by ligaments, muscle and tendons.
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