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Home :: Elbow Fracture, Coronoid Process
Elbow Fracture, Coronoid Process
A complete or incomplete break in the coronoid process of the ulna (a part of a bone in the forearm). It usually accompanies an elbow dislocation.
BODY PARTS INVOLVED
- Elbow joint.
- Coronoid process of the ulna, a curved portion of the bone that forms part of the joint.
- Soft tissue surrounding the fracture site, including nerves, tendons, ligaments, blood vessels, cartilage and muscle.
Causes
- Direct blow to the elbow.
- Indirect injury due to falling on an outstretched hand with the elbow stiff, or any injury that causes dislocation of the elbow.
Signs & Symptoms
- Severe pain at the fracture site.
- Swelling around the fracture.
- Visible deformity if the fracture is complete and bone fragments separate enough to distort normal body contours.
- Tenderness to the touch.
- Numbness or coldness in the lower arm and hand, if the blood supply is impaired.
Treatment
Follow your doctor's instructions. These instructions are supplemental.
- The doctor will set the broken bones and repair soft tissue with surgery. Surgery is necessary to ensure normal rotation of the forearm after healing is complete. Manipulation should be done as soon as possible after injury. Six or more hours after the fracture, bleeding and displacement of body fluids may lead to shock.Also, many tissues lose elasticity and become difficult to return to a normal position.
- Immobilization will be necessary with rigid splints around the injured area to immobilize the joints above and below the fracture site.
- After 48 hours, localized heat promotes healing by increasing blood circulation In the injured area. Use heat lamps or heating pads so heat can penetrate splints.
- After splints are removed, use frequent ice massage. Fill a large Styrofoam cup with water and freeze. Tear a small amount of foam from the top so ice Protrudes. Massage firmly over the injured area in a circle about the size of a baseball. Do this for 15 minutes at a time, 3 or 4 times a day.
- Apply heat instead of ice, if it feels better. Use heat lamps, hot soaks, hot showers, heating pads, or heat liniments or ointments.
- Take whirlpool treatments, if available.
Home Diet
- Drink only water before manipulation or surgery to treat the fracture. Solid food in your stomach makes vomiting while under anesthesia more hazardous.
- During recovery, eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation.
Prevention
- Build adequate muscle strength and achieve good conditioning prior to exercise, athletic practice or competition. Increased muscle mass helps protect bones and underlying tissue.
- Use appropriate protective equipment such as padded elbow pads, when participating in contact sports.
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