FRACTURE,

CAPSULE, TENDON,
LIGAMENT LESSION OF ELBOW

The Elbow Joint

Bones of the Elbow

Humerus
- medial epicondyle
- lateral epicondyle
Radius
Ulna
- olecranon process

Joints of the Elbow

Hinge joint
Composed of 3 arNculaNons:
1. Humeroulnar joint
2. Humeroradial joint
3. Radioulnar joint

Muscles AecNng the Elbow

- Elbow Flexors
1. Brachialis
2. Biceps brachii
3. Brachioradialis
- Elbow Extensors
1. Triceps
2. Anconeus

Ligaments of the Elbow

Ulnar Collateral Ligament
medial side connects humerus to ulna
Radial Collateral Ligament
Lateral side connects humerus to radius
Annular Ligament
Surrounds radial head/holds it Nght
to ulna

Radial Fractures
Radial head fracture
classicaNons (Mason)
Type I: nondisplaced
Type II: fracture with
displacement, depression or
angulaNon
Type III: comminuted fracture
of head
Type IV: comminuted fracture
associated with elbow
dislocaNon

Radial Head Fractures

RehabilitaNon consideraNons
Type I: minimal immobilizaNon and early moNon
Type II: ORIF and early moNon
Type III: ORIF and early moNon if possible
Type IV: radial head resecNon and xaNon of distal
radioulnar joint, guarded prognosis for return to
sport

 Olecranon Fracture
Mechanisme of trauma : mostly direct trauma

Figure 16.11. Colton classica0on of

olecranon fractures.
A: Type I, avulsion of the olecranon process.
B: Type II, fracture from the deepest porNon of
the semilunar notch.
C: Type III, fracture at the most distal porNon of
the olecranon.

Treatment
Nondisplaced Fractures
ImmobilizaNon 3 4 weeks in casNng above elbow
with elbow eksion 40 90 degree
Union in 6-8 weeks

Displaced fractures
ORIF treatment of choice for displaced #

Treatment Olecranon fracture

A: A type III olecranon fracture in which
the proximal fragment is insucient for
plaNng. Gross instability with anterior
subluxaNon of the radius and ulna is
noted at the Nme of surgery.

B: FixaNon using an intramedullary

cancellous screw and tension band
wiring.

Injuries to the Elbow

Elbow DislocaNon
Usually occur as a result of a fall on an
outstretched arm
May be associated nerve or vascular injury
Usually dislocates posteriorly
Anterior DislocaNons very rare
Possible olecranon fracture

 Parvins method : pasien dalam posisi prone

diatas tempat Ndur, kemudian melakukan
traksi wrist ke arah bawah dalam beberapa
menit. KeNka olecranon bergeser ke arah
distal, angkat lengan atas.
In Meyn and Quigleys method : lengan
bawah tergantung disamping tempat Ndur,
lakukan traksi ke arah bawah pada wrist,
reduksi olecranon dengan menggunakan
tangan lainnya.