Elbow Fracture

You have a break (fracture) of one or more bones of your elbow joint. This may be a small crack in the bone. Or it may be a major break, with the broken parts pushed out of position.

This fracture usually takes 4 to 12 weeks to heal, depending on the type. The first step in treatment is with a splint or cast. Severe fractures may need surgery to put the bone fragments back into place. This is done by an orthopedic surgeon. This is a surgeon who specializes in treating bone, muscle, joint, and tendon problems.

Home care

Follow these guidelines when caring for yourself at home:

  • Keep your arm elevated to reduce pain and swelling. When sitting or lying down keep your arm above the level of your heart. You can do this by placing your arm on a pillow that rests on your chest or on a pillow at your side. This is most important during the first 2 days (48 hours) after the injury.

  • Put an ice pack on the injured area. Do this for 20 minutes every 1 to 2 hours the first day. You can make an ice pack by wrapping a plastic bag of ice cubes in a thin towel. As the ice melts, be careful that the cast or splint doesn’t get wet. You can place the ice pack inside the sling and directly over the splint or cast. Continue to use the ice pack 3 to 4 times a day for the next 2 days. Then use the ice pack as needed to ease pain and swelling.

  • Keep the splint or cast completely dry at all times. Bathe with your splint or cast out of the water. Protect it with a large plastic bag, rubber-banded or taped at the top end. If a fiberglass splint or cast gets wet, you can dry it with a hair dryer on a cool setting.

  • You may use acetaminophen or ibuprofen to control pain, unless another pain medicine was prescribed. If you have chronic liver or kidney disease, talk with your healthcare provider before using these medicines. Also talk with your provider if you’ve had a stomach ulcer or gastrointestinal bleeding.

  • Don’t put creams or objects under the cast if you have itching.

Follow-up care

Follow up with your healthcare provider in 1 week, or as advised. This is to make sure the bone is healing the way it should. If a splint was put on, it may be changed to a cast during your follow-up visit.

X-rays may be taken. You will be told of any new findings that may affect your care.

When to seek medical advice

Call your healthcare provider right away if any of these occur:

  • The cast or splint cracks

  • The plaster cast or splint becomes wet or soft

  • The fiberglass cast or splint stays wet for more than 24 hours

  • Tightness or pain under the cast or splint gets worse

  • Bad odor from the cast or wound fluid stains the cast

  • Fingers become swollen, cold, blue, numb, or tingly

  • You can’t move your fingers

  • Skin around cast becomes red

  • Fever of 100.4ºF (38ºC) or higher, or as directed by your healthcare provider 

  • Chills

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