Dr. Richard McCollum: The patient is a 43-year-old civil service employee who sustained an injury to his left elbow. He was driving an automobile with his left elbow projecting out of the window when he passed too close to a metal roadside standard. A U-shaped laceration over the proximal part of the ulna was noted, with bone fragments protruding through the wound. The patient received emergency care at a nearby first-aid station, where a sterile bandage and posteriorly placed splint were applied and a tetanus toxoid booster and penicillin G (1 million units) were administered intramuscularly. He was then taken to the emergency ward of the Massachusetts General Hospital where results from the physical examination were normal, except for the previously noted 8 cm laceration and inability of the patient to actively extend the left elbow. Roentgenologic studies revealed an open fracture of the olecranon with displacement of the proximal
Aufranc OE, Jones WN, Turner RH, Thomas WH. Open Fracture of the Olecranon. JAMA. 1967;202(5):427–429. doi:10.1001/jama.1967.03130180093021
Customize your JAMA Network experience by selecting one or more topics from the list below.