#paeds see: [RCH Olecranon fracture](https://www.rch.org.au/clinicalguide/guideline_index/fractures/Olecranon_fracture_Emergency_Department_setting/) >[!key points] > beware mistaking the olecranon growth plate for a fracture and vice versa. if uncertainty exists, then compare AP and lateral views of contralteral elbow ![[Pasted image 20230825230740.png]] # ED management Isolated undisplaced/stable fractures should be immobilised in an above-elbow backslab in 90 degrees elbow flexion. For displaced and combined fractures, the arm should be placed in an above-elbow backslab in 90 degrees elbow flexion and referred to the nearest orthopaedic on call service. These fractures typically require operative management. # Follow up Undisplaced/stable fractures should be seen in fracture clinic in one week, with x-ray at that visit. For displaced fractures and those with associated injuries, follow-up care will be arranged by the orthopaedic service.