Mechanism
FOOSH with elbow in extension or flexion
Type
Posterior
Anterior
Medial
Lateral
Divergent
Clinical Feature
Pain
prominence of triceps tendon
three point bony relation reversed
swelling
median nerve palsy
Xray
AP and Lateral view
Tt
uncomplicated
complicated
Uncomplicated
Closed reduction( forearm allowed to hang on the stretcher and gentle traction applied on the wrist , physician guides reduction of olecranon with opposite hand ) under anesthesia and above elbow plaster slab for 3 weeks
Complicated
Open reduction
Complications
Early
Brachial artery , median nerve , ulnar nerve injury
unreduced dislocation
late
Osteoarthritis
myossitis ossificans
Recurrent dislocation
Stiffness