From the Research
Recovery after a closed elbow reduction with an olecranon avulsion fracture typically requires 6-8 weeks of restricted activity and rehabilitation, with the most recent and highest quality study suggesting that conservative management can be effective in achieving fracture union and preventing complications 1. The management of olecranon fractures involves a range of treatment options, including surgical and nonoperative approaches, with the choice of treatment depending on factors such as fracture type, patient age, and functional demand 2, 3. Key considerations in the management of olecranon fractures include:
- Immobilization in a splint or cast for 1-3 weeks, depending on fracture stability
- Limiting lifting to less than 1-2 pounds with the affected arm and avoiding pushing, pulling, or twisting movements
- Gentle range-of-motion exercises under the guidance of a physical therapist once cleared by the orthopedic surgeon
- Pain management with NSAIDs, such as ibuprofen or naproxen, and acetaminophen as needed
- Applying ice for 15-20 minutes several times daily to reduce swelling As healing progresses, activities can be gradually increased based on the surgeon's recommendations, with a typical return to light daily activities by 6 weeks and more strenuous activities by 3 months 4, 5. It is essential to prioritize a conservative approach to allow the avulsed bone fragment to heal properly while maintaining joint stability and preventing complications like stiffness or heterotopic ossification that could limit future elbow function 1.