Elbow Fracture Care
Elbow Fracture Care PDF Print E-mail

Elbow Fracture Care

Your child has sustained a fracture, or broken bone, close to the elbow. Some children have fractures that may need only a cast for the bone to heal. Others may need to go to the operating room to have pins put in the bone to hold it in place while healing takes place.

If your child needs to have pins placed in the bone, a cast will be applied over the pins after the surgery is completed. The pins will be removed at the doctor's office after healing has taken place.


There may be some swelling of the hand and/or fingers for 2-5 days after the fracture. Keep the elbow and hand elevated for the first 2-3 days by lying down on a couch or bed and propping the arm up with pillows, keep elbow and hand above the level of the heart.

Keeping an ice bag on the elbow will also help to reduce the swelling. Ice bags you can use include frozen vegetables such as peas, or corn, commercial ice products such as "blue ice", or heavy plastic bags filled with ice. Cover the bags of ice with a dry thin towel to protect the cast from getting wet. If the swelling, or pain increases, or fingers become numb, notify the orthopaedic nurse, or doctor.

Check your child's fingers often for movement, feeling and circulation during the first couple of days following surgery and/or cast placement. Notify your child's doctor of any decrease in circulation, decrease in the ability to move the fingers, or decreased feeling (numbness) in the fingers.

Encourage your child to move his/her fingers.

Keep the cast dry and clean. Waterproof casts cannot be used for fractures with pins in place.

Your child's doctor will order pain medication for you to give your child at home. Foll

Pin Tract Infection

About 3% of patients can develop a pin tract infection. This usually starts about 1-4 weeks after pin placement. Signs of infection include:

  • Increasing elbow pain, or fussiness after the first week
  • Fever
  • Drainage out of the cast

If your child develops any of these symptoms please call the orthopaedic nurse, or doctor.

Baths Only; No Showers

You should place a plastic bag over the casted arm and tape it tight at the top (at the armpit). Never submerge the arm or allow water to run over it. Place the casted arm on the side of the tub and watch the child to make sure they keep the cast out of the water. If it should get wet, immediately dry with a blow dryer using the cool setting only, if this does not dry the cast, call your doctor immediatey for further instructions. A wet cast can cause skin sores if not taken care of right away.


Your child should avoid any activities that may increase the likelihood of tripping and falling. When your child feels well enough and is no longer requiring (narcotic) pain medicine, he/she may return to school wearing a sling. Place a safety pin between the two sling layers, just in front of the elbow to help keep the sling from sliding off of the arm. Your child should wear the sling when out of bed, until the cast is removed.

Cast Removal

After healing takes place your child may have elbow stiffness that lasts for 3-4 weeks after the cast is removed. Children often hold their arm for the first few hours after their cast is removed due to elbow stiffness. The stiffness usually goes away spontaneously within a month after cast removal.

Pin Removal

Elbow pins are usually removed in the office in a matter of seconds. Although patients may be anxious or cry, it is not a painful procedure, so they need not be scared. We usually place an ace wrap over the pin sites, which can be replaced with a band-aid the next day.

Physical therapy is usually not necessary. Patients are encouraged to swim once the skin pin holes have closed up (usually 1-2 days after cast removal), and your child can play sports once they have near full motion (approximately 1 – 4 weeks after cast removal). Return of full range of motion may take up to three months.


Your child's doctor will tell you when your child needs to return for follow-up care. Call the office as soon as you can to make the appointment. X-rays will be taken to determine how the healing is progressing.


reference: http://www.cincinnatichildrens.org/health/info/orthopaedics/home/elbow-fracture.htm