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Elbow / forearm VFC

Distal Biceps tendon rupture

A&E management

Broad arm sling

Follow-up

Refer to Ortho on-call

Distal humeral fracture

A&E management

Above elbow backslab

Follow-up

Refer to Ortho on-call

Olecranon fractures

A&E management

Above elbow backslab

Follow-up

If undisplaced - On-line referral to VFC.
If displaced - Refer to Ortho on-call

Radial head/neck fractures

A&E management

Broad arm sling

Follow-up

On-line referral to VFC

Dislocated elbow

A&E management

Relocate, above elbow backslab (90 degrees flexion), repeat XR

Follow-up

Refer to Ortho on-call

Ulna shaft fractures

A&E management

Above elbow backslab (90deg flexion, neutral rotation)

Follow-up

On-line referral to VFC

Radial and ulna shaft fractures

A&E management

Above elbow backslab

Follow-up

Refer to Ortho on-call

Monteggia / Galeazzi fractures

A&E management

Document neurovascular status, apply above elbow backslab and check xr

Follow-up

Refer to Ortho on-call

Soft tissue injuries

A&E management

Broad arm sling

Follow-up

Discharge with advice

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