Olecranon Fractures: Treatment & Management

Our elbow is a complex hinge joint made up of three different bones. It can also perform various functions. The elbow is able to bend and straighten up, rotate and turning up and down. When you try to bend your elbow, the sharp tip protruding out is called the olecranon. Olecranon fractures are injuries that affect the particular bone.

Treatment

After a patient suffers from an Olecranon fracture, the first thing a doctor will administer is ice and pain relief medication followed by elbow immobilization. The doctor will then determine if surgery is required depending on the extent of the fracture.

Nonsurgical treatment

Patients who do not have a severe fracture will not be required to undergo surgery. Nonsurgical treatment is fairly straightforward. The patient will need to immobilize the fractured elbow using a splint or sling during the healing process. The patient will also need to visit the hospital once a week for X-ray imaging to monitor the healing process. If there are no protruding bone fragments, movement will resume after a month. During the healing process, a physiotherapist will be assigned to teach basic strengthening exercises. If the fracture shifts during this process, the patient will eventually surgery to piece the bones together.

Surgical treatment

Surgery will be needed for patients who have serious fractures such as an open fracture or displaced fracture. In a displaced fracture, the fracture is out of place. This is due to the strong attachment of the bicep muscles to the olecranon. Once the fracture is out of place, the elbow will be unable to straighten at all. An open fracture on the other hand means that the bone fragments have cut the skin, leading to an increased risk of infection. This is a much more serious condition and patients will be administered with antibiotics and tetanus shot. An incision will be made at the back of the elbow where the surgeon will piece the bone fragments together again. Large pieces of bones may be joined together using pins, wires, screws or plates and these metal implants can be permanent or biodegradable.

Management

Following surgery, rehabilitation will be required in order to regain the elbow to its previous condition. As the healing process is lengthy, bone resorption could have taken place. As such, the region is much weaker. A physiotherapist will thus concentrate on regaining bone mass and muscular strength in the elbow.

3 Ankle Strengthening Exercises

Did you know that each person walks an average of 9000 steps per day? And the total distance covered by a person in his lifetime is sufficient to cover the Earth a whopping 4 times? Not only has the foot need to bear our body weight, it also has to lift it off the ground when we are walking. This places tremendous stresses on the ankles as well as the surrounding ligaments and tendons. With such a high use rate, problems can easily arise if it is not well taken care off. Imagine your ankle to be a car engine – you need preventive maintained after a certain mileage. However, you cannot give your ankle an off day as that will result in lots of inconvenience so the best alternative is to perform ankle strengthening exercises which can help to better support the ankle.

Ankle strengthening exercises are simple and can be performed easily almost everywhere without the need for big and bulky equipments.

Resistance band assisted flexion

The resistance band assisted flexion is a simple and convenient exercise that does not take up much space and time. You will need a resistance band which can be easily purchased from most sports shops. Place the resistance band over the top of your foot and curl the toes in. Slowly flex your leg outwards and you will be able to feel a slight pull at the ankle. Slowly return to the starting position and repeat for 3 sets of 20s.

Achilles stretches

The Achilles tendon is the thickest and strongest tendon in our body and it passes through the ankle. Therefore, it makes sense to strengthen this tendon which is responsible for absorbing the weight of our body. Sit down in an upright position and using a towel, wrap it around the toes. Slowly pull the towel towards you and you should be able to feel a stretch in the ankle. Repeat this exercise for 3 sets of 20s.

Toe raises

Toe raises can be performed almost anywhere, even when you are on your way to work or school. Stand on the edge of a flight of stairs and slowly raise your toe. Standing on the edge causes your body to shift the entire weight to the toes and help to strengthen your ankles. It can also help to promote a sense of balance in your body. Slowly return to the starting position and repeat for 20 times for 3 sets.

Without such a high usage, it is not shocking to know that ankle injuries are common. However, the inconvenience and discomfort of ankle injuries are too serious to ignore. Simple ankle strengthening exercises are simple and convenient and a little can go a long way.