SORA

Advancing, promoting and sharing knowledge of health through excellence in teaching, clinical practice and research into the prevention and treatment of illness

Paediatric olecranon fractures: a systematic review.

Holme, TJ; Karbowiak, M; Arnander, M; Gelfer, Y (2020) Paediatric olecranon fractures: a systematic review. EFORT Open Rev, 5 (5). pp. 280-288. ISSN 2058-5241 https://doi.org/10.1302/2058-5241.5.190082
SGUL Authors: Gelfer, Yael

[img]
Preview
PDF Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (689kB) | Preview

Abstract

The optimal management and long-term outcomes of olecranon fractures in the paediatric population is not well understood. This systematic review aims to analyse the literature on the management of paediatric olecranon fractures and the long-term implications.A systematic review of several databases was conducted according to PRISMA guidelines. English-language studies evaluating the management of isolated paediatric olecranon fractures were included. Data extracted included demographics, classifications, conservative and operative treatment methods and outcomes.Fifteen articles fitting the inclusion criteria were included. There were 11 case series and four retrospective comparative series. The reported studies included 299 fractures in 280 patients.The mechanism of injury was predominantly low energy. Fractures displaced < 4 mm were treated non-operatively with almost universally good results, with the majority being treated with cast immobilization. Fractures displaced > 4 mm were commonly treated operatively with generally good results, with tension band wire and suture fixation being the most common treatment modalities. Weight > 50 kg was associated with failure of suture fixation.In those studies that reported olecranon fractures with associated elbow injuries (e.g. radial head fractures) outcomes were poorer. Forty-six fractures were in patients with osteogenesis imperfecta, who sustained a higher rate of re-fracture after removal of metalwork and contralateral olecranon fracture.Despite a relatively low evidence base pool of studies, the aggregate data support the non-operative treatment of isolated undisplaced olecranon fractures with good results, and support the operative treatment of fractures displaced ≥ 4 mm. Cite this article: EFORT Open Rev 2020;5:280-288. DOI: 10.1302/2058-5241.5.190082.

Item Type: Article
Additional Information: © 2020 The author(s) This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
Keywords: fracture, olecranon, paediatric
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Journal or Publication Title: EFORT Open Rev
ISSN: 2058-5241
Language: eng
Dates:
DateEvent
May 2020Published
Publisher License: Creative Commons: Attribution-Noncommercial 4.0
PubMed ID: 32509333
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/112106
Publisher's version: https://doi.org/10.1302/2058-5241.5.190082

Statistics

Item downloaded times since 30 Jun 2020.

Actions (login required)

Edit Item Edit Item