Elbow Injury : FractureElbow fracture refers to a break in one of the three bones which comprise the elbow joint (humerus, radius, and ulna). Elbow fractures occur commonly from a blunt force injury, as seen in a motor vehicle accident or fall. Elbow fractures are common in children who fall onto their elbows. Common symptoms of elbow fractures include: swelling, pain, and inability to move the joint without extreme pain. Point tenderness over one or more of the bony prominences and deformity of the elbow joint are also indicative of a fracture. A young child will refuse to move the injured arm. Evaluation of the elbow will include an examination to document normal nerve and blood vessel status (pulses and sensation). More serious elbow fractures can cause disruption of blood flow to the hand or result in nerve damage. This may manifest as numbness in the hand or loss of motor function (movement). Bone x-rays will be necessary to confirm the existence of a fracture and guide treatment. Children under 12 will often have x-rays done of the uninjured elbow for comparison. In many cases of elbow fracture in the adult, surgical intervention is necessary. Elbow fractures in CHILDREN often require special orthopaedic manipulation with subsequent casting. Extreme cases, involving displacement of bone fragments or angulation (bend) of the fracture site, may also require surgery. Bone healing generally requires 6 weeks of rigid immobilization (cast), followed
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