Elbow Injuries
INJURY SITE TYPICAL MECHANISM PITFALLS/COMPLICATIONS ED/ MIU/ UCC TREATMENT FOLLOW-UP
Dislocation
Heavy fall on outstretched hand. Usually posterior
Vascular & nerve injury possible.
Reduction in ED with procedural sedation as required. X-ray before and after. Above elbow POP at 90o or C&C if adequate pain relief and stability
Fracture clinic
Effusion without obvious bony injury on XR
Various
Missed #.Usually radial head # in adults or supracondylar # in children
C&C or POP if required for comfort
If clinical examination suggests an underlying radial head # then discharge with patient info leaflet If a supracondylar # suspected then refer to Fracture clinic
Pulled elbow
Traction injury in
toddler but may occur in babies
A clinical diagnosis – X-Rays usually not required
Manipulate once
adequately. If unsuccessful C&C.
None if successfully reduced.
If unsuccessful then advise GP review within 48hrs
MEDICAL DISCLAIMER:The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd |
Elbow fractures and Injuries
-
| About | Anaesthetics and Critical Care | Anatomy | Basic Science | Biochemistry | Cardiology | Cases | Clinical Cases | Crib | Dentistry | Dermatology | Differentials | Drugs | ENT | Electrocardiogram | Embryology | Emergency Medicine | Endocrinology | Ethics | Foundation Doctors | Gastroenterology | General Information | General Practice | Genetics | Geriatric Medicine | Guidelines | Haematology | Hepatology | Immunology | Infectious Disease | Infectious Diseases | Infographic | Investigations | Lists | Microbiology | Miscellaneous | Nephrology | Neuroanatomy | Neurology | Nutrition | OSCE | Obstetrics Gynaecology | Oncology | Ophthalmology | Oral Medicine | Paediatrics | Palliative | Pathology | Pharmacology | Physiology | Procedures | Psychiatry | Radiology | Research | Respiratory | Resuscitation | Rheumatology | Statistics | Stroke | Surgery | Surgical | Toxicology | Trauma and Orthopaedics | Twitter | Urology | Version Jan 2023