51. Nonoperative manipulative reduction with Chinese herbs for the treatment of a displaced olecranon fracture
- Author
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Wen-Long Hu, Yi-Shan Lan, Yu Pei Chen, and Yu-Chiang Hung
- Subjects
medicine.medical_specialty ,business.industry ,Olecranon ,medicine.medical_treatment ,Elbow ,General Medicine ,Chinese herbs ,Direct trauma ,medicine.disease ,030226 pharmacology & pharmacy ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Olecranon fracture ,medicine ,Severe pain ,Displacement (orthopedic surgery) ,business ,030217 neurology & neurosurgery ,Reduction (orthopedic surgery) - Abstract
Rationale Displaced olecranon fracture is a common injury following a fall or direct trauma to the elbow. There have been no reports of patients with a displaced olecranon fracture who have only received nonoperative manipulative reduction with Chinese herbs. Patient concerns The patient was a 64-year-old woman with a complex elbow injury that occurred in a traffic accident. The patient complained of severe, painful limitation of motion on straightening or bending. Diagnoses The patient was diagnosed with a displaced fracture of the left olecranon (type IIA olecranon fracture according to the Mayo classification system). Interventions The patient underwent nonoperative manipulation with Chinese herbs. Outcomes The fracture was successfully reduced. After 3 to 4 months of follow-up, severe pain and disability in the elbow were improved following reduction of the left olecranon fracture in which there was no longer a displacement. Lessons Nonoperative manipulative reduction performed by a well-trained physician with Chinese herbs may be a treatment option for displaced olecranon fractures.
- Published
- 2018
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