Elbow Fractures
Elbow fractures are very common in children and can involve any of the three bones that make up the elbow joint: the humerus (upper arm bone), radius, or ulna (forearm bones). Treatment depends on the type and severity of the fracture, but many elbow fractures can be managed successfully with casting or splinting.
Types of elbow fractures and treatment:
- Occult (hidden) fractures may not be visible on initial X-rays but often cause significant swelling.
- Typically treated with a cast or splint for several weeks.
- Non-displaced fractures (bones remain in proper alignment) are usually treated with a long-arm cast.
- Displaced fractures (bones have moved out of alignment) may require:
- A closed reduction (repositioning the bone without surgery) followed by casting, or
- Surgery to stabilize the fracture.
Surgical treatment may include:
- Placement of pins to hold the fracture in position while it heals.
- A cast is typically worn for about 4 weeks after surgery.
- Pins are usually removed in the clinic when the cast is removed.
Recovery after cast removal:
- Temporary elbow stiffness and weakness are common.
- Most children regain motion and strength within a few weeks to months.
- Physical therapy may be recommended if additional support is needed.