5. PHYSICAL EXAMINATION
A : Can speak, full ROM of neck, not tender along c-spine.
B : Normal chest movement, no subcutaneous emphysema, no
chest contusion, normal breath sound equal both lungs.
C: PR 90/min full equal 4 extremities.
D: E4V5M6, pupil 2 mmRTLBE
E: Deformities of left elbow with tenderness and limit ROM, N/V
are intact, abrasion wound at left leg and left arm, not tender
along spinous process
13. OLECRANON PROCESS
• attachment site for several muscle groups including the
flexor carpi ulnaris and anconeus, the major muscle
attachment is that of the triceps
14. EPIDEMIOLOGY
• High energy injuries in the young
• Low energy falls in the elderly
PATHOPHYSIOLOGY
• Direct blow : usually result in comminuted fracture
• Indirect blow : fall onto outstretched upper extremity, usually result in
transverse or oblique fracture
15. PRESENTATION
• Pain well localized to posterior elbow
• Palpable defect
• Inability to extend elbow
