Due to high physical activity, children often fall. Falling on the hand, especially when the arm is straight, often ends with an elbow fracture.
Different types of fractures can occur in the elbow.
• Above the elbow roller (supracondylar) fractures: These are the fractures that occur in the upper arm bone (humerus) just above the elbow. It is the most common and most serious fracture. Because it can cause nerve damage and circulatory disorder.
• Elbow roller (condylar) fractures: In these fractures, a part of the roller of the upper arm bone forming the elbow joint is broken. Elbow curvatures that occur with growth can be seen by injuring the growth plate in the elbow. For this reason, it is important to treat these fractures very carefully.
• Elbow protrusion (epicondylar) fractures: It is the fracture of the protrusions called epicondyle on both sides of the elbow roller. Inner side epicondyle fractures are more common.
• Growth plate fractures: The growth plates of the bones of the upper arm and forearm are at the bone ends near the elbow. The most important side effect is growth disruption or asymmetry in fractures of these plaques in patients who are in their growing age. Therefore, they need to be treated very carefully. Growth plate-related growth problems may occur, albeit less frequently, even in very well-treated ones.
• Forearm fractures: An elbow strain may result in a fracture or crushing of the head of the forearm’s thumb bone (radius). Sometimes elbow dislocation can be added to this fracture. Fractures of the elbow tip (olecranon) or other forearm bone (ulna) are rare.
Symptoms and complaints
Like all the grievances in fractures
• Sudden pain • Tenderness
• Mild or severe swelling
• There are complaints of limitation of movement.
Diagnosis and treatment
When you apply to your doctor, first of all, it will be checked whether there is a vessel and nerve damage. Then X-ray examination is done. Sometimes a comparative x-ray of both elbows may be required.
Treatment depends on the location and grade of the fracture. 3-5 weeks of full or half plaster application may be sufficient for non-displaced or some slightly displaced fractures. During this period, it may be necessary to control the fracture with control x-rays from time to time.
If the fracture has slipped, it is necessary to place the fracture. Sometimes insertion can be done manually without the need for surgery. It is ideal to perform this procedure under general anesthesia. However, most displaced elbow fractures require surgery. Since it is inconvenient to try to fix some types of fractures manually, your doctor will recommend direct surgery. At the end of a good surgery, the elbow returns to normal completely.