E18 – Occult fracture of the Supracondylar Region

This is likely to be a fracture but was not able to be seen on x ray

Healing:A woman pointing at her elbow

It normally takes 6 weeks for this fracture to heal.

Pain and Swelling:

Your elbow may be swollen and you will have some pain. Taking pain medication and using ice or cold packs will help. More information is in the next section.

Wearing your sling:

You should wear the sling for 2-3 weeks and remove as pain allows.

Exercise and activity:

Elbows get stiff very quickly. It is important to start exercising as soon as possible. You will find pictures and instructions for your exercises on the next page.

You should avoid lifting anything more than the weight of a cup of tea for the first 4 weeks. You can do light activities when your pain has settled.

Follow up:

A follow up appointment is not normally needed for this injury. Please contact the Virtual Fracture Clinic if you are still experiencing pain and swelling after 6 weeks or if you are struggling to fully bend and straighten your elbow.

Any questions:

If you are concerned about your symptoms, are unable to follow this rehabilitation plan or notice pain other than at your elbow, please contact the Virtual Fracture Clinic.

Caring for your injury: Week 1-4

Try to stop using your sling at 2-3 weeks after your injury. Take it off regularly for your exercises.

Using a cold pack will help with your pain and swelling. You can use an ice pack or bag of frozen peas wrapped in a damp towel. Put this on your elbow for 15 minutes every few hours if required. Make sure the ice isn’t in direct contact with your skin.

Try to rest your elbow, especially in the first 3 weeks.

Exercises

Regular exercise will prevent stiffness and help to recover movement. Try to do these exercises 4-5 times a day. Repeat each exercise 10 times.

Wrist exercises demonstrating rotation and flexing of the handElbow exercises demonstrating rotation and flexing

  1. Open and close your hand. Next, move you wrist up and down.
  2. After a few days, hold a soft ball/ball of socks. Squeeze the ball as hard as possible without pain. Hold for 5 seconds.
  3. Bend and straighten your elbow so you feel a mild to moderate stretch. Do not push into pain.
  4. Bend your elbow to 90 degrees. Slowly turn your palm up and down until you feel a mild to moderate stretch. Do not push into pain.

Frequently Asked Questions

I’m concerned about my symptoms and/or I am struggling to return to exercise.

Please contact the Virtual Fracture Clinic.

I am struggling with my sling. What do I do?

Contact the Virtual Fracture Clinic. We are happy to give further advice or change your sling if needed.

Contact Details for Bedford and Luton

Please contact the hospital where you attended A&E as the other site will not be able to access your notes

BEDFORD HOSPITAL PATIENTS

How do I contact the Virtual Fracture Clinic (VFC)

How do I contact the Fracture Clinic?

  • Telephone 01234 792138

How do I contact the Plaster Room?

  • Telephone 01234 792031
  • Monday to Friday 9am to 5pm (out of hours contact the Emergency Department)

LUTON & DUNSTABLE HOSPITAL PATIENTS

How do I contact the Virtual Fracture Clinic (VFC)

  • Telephone 01582 718121
  • Messages will be checked every morning Monday to Friday (except for Bank Holidays)
  • Email VFCLuton@ldh.nhs.uk

How do I contact the Fracture Clinic?

  • Telephone 01582 497194 or 01582 718 993 (outpatient appointments)

How do I contact the Plaster Room?

  • Telephone 01582 491166 (ext. 2233)
  • Monday to Friday 9am to 5pm (out of hours contact the Emergency Department)