24670 Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); without manipulation

Closed Treatment of Ulnar Fracture, Proximal End (e.g., olecranon or coronoid process[es]); Without Manipulation

Name of the Procedure:

• Common Names: Closed Treatment of Proximal Ulnar Fracture, Ulnar Fracture Care
• Technical/Medical Terms: Closed reduction of ulnar fracture, Non-manipulative ulnar fracture management

Summary

This procedure involves the non-surgical treatment of a broken ulna near the elbow (proximal end) without the need for realignment or manipulation of the bone fragments. The goal is to allow the bone to heal naturally using immobilization techniques like casting or splinting.

Purpose

This treatment addresses fractures of the proximal end of the ulna, such as those involving the olecranon or coronoid process, without the need to realign the bone. It aims to stabilize the fracture, alleviate pain, and promote natural healing while minimizing the risk of complications.

Indications

• Patients with a non-displaced ulnar fracture at the proximal end.
• Individuals experiencing pain, swelling, and reduced mobility due to the fracture.
• Cases where the bone fragments are already well-aligned.

Preparation

• No specific fasting or medication adjustments required.
• X-rays or other imaging tests to diagnose the fracture and confirm proper alignment.
• Discussion of pain management options with the healthcare provider.

Procedure Description

1. The patient is positioned comfortably, typically seated or lying down.
2. A cast or splint is applied to immobilize the arm, extending from the elbow to the hand.
3. The cast or splint ensures the fracture remains stable and promotes natural healing.
4. No manipulation or surgical intervention is performed.
5. The patient is given instructions on how to care for the cast/splint and manage pain.

Duration

The procedure typically takes 30 to 60 minutes.

Setting

Closed treatment of an ulnar fracture is usually performed in:

• Emergency departments
• Outpatient clinics
• Orthopedic offices

Personnel

• Orthopedic surgeon or primary care physician
• Nurses or medical assistants

Risks and Complications

• Possible skin irritation or pressure sores from the cast or splint.
• Risk of the fracture not healing properly (non-union).
• Potential for stiffness or limited mobility in the elbow joint.

Benefits

• Non-invasive and avoids surgical risks.
• Effective pain relief and stabilization of the fracture.
• Allows the bone to heal naturally with minimal intervention.

Recovery

• Patients should keep the cast/splint dry and clean.
• Regular follow-up appointments to monitor healing progress.
• Gradual return to normal activities as advised by the healthcare provider.
• Complete healing typically takes 6-8 weeks, but full recovery may take longer.

Alternatives

• Open reduction and internal fixation (surgical intervention) if the fracture is displaced or unstable.
• Functional braces that allow some movement while still providing support.
• Physical therapy after initial immobilization to regain strength and mobility.

Patient Experience

• Patients may experience discomfort from wearing a cast or splint.
• Over-the-counter pain relievers are usually sufficient to manage pain.
• Instructions on how to maintain hygiene and protect the cast/splint will be provided.

Pain and discomfort should lessen over time as the bone heals. Regular follow-up appointments ensure proper healing and address any complications.