Simultaneous Bilateral Traumatic Transolecranon Fracture-Dislocation

Trans-olecranon fracture dislocations cause instability in the ulnohumeral joint due to intra-articular fractures, while the proximal radioulnar joint remains unaffected. These types of fractures represent around 10% of adult traumatic elbow fractures, with bilateral occurrences being infrequent. Olecranon fractures generally result from direct or indirect trauma to the elbow, occurring at various angles of elbow flexion, leading to complex injuries. The literature outlines different fracture types and their corresponding treatments. Most cases of bilateral olecranon fractures are reported as pathological fractures in patients with conditions like rheumatoid arthritis, Osteogenesis Imperfecta, or sarcoidosis. Instances of bilateral traumatic fractures without related systemic illnesses are scarce. This article presents a case of bilateral trans-olecranon fracture dislocation, discussing the management of this complex injury and reviewing relevant literature.