Olecranon Traction Spur
Problem
- Bony spur over the tip of the elbow
Cause
- Tractions spurs are caused by repetitive strain to triceps tendon insertion.
Diagnosis
- Clinical exam will show obvious swelling over the olecranon
- Plain x-rays are taken to look for any underlying bone or joint problem, or ununited fracture.
Treatment
- Non operative measures such as antiflammatories, are sometimes successful.
- In recalcitrant cases surgical excision is required.
- Operation usually, general anaesthetic, excision of the spur, with smoothing of the bone.
- The patient is usually placed in a splint to restrict elbow motion for two to three weeks, or a bulky bandage.
Potential Complications
- Infection, Haematoma, stiffness
- Can get recurrence of the spur.
- The biggest issue is with wound healing
Post-Operative Care
- Analgesia, Elevation,
- Back slab for two to three weeks until wound is well healed or bulky bandage.
