The Open Orthopaedics Journal

ISSN: 1874-3250 ― Volume 14, 2020

Long-Term Outcomes after Colton Type I and II Fractures of the Olecranon

Thord von Schewelov1, Fredrik Hertervig1, Per-Olof Josefsson1, Jack Besjakov1, Ralph Hasserius1, *
1 Departments of Orthopaedics and Radiology, Skane University Hospital, Scania, Sweden
2 Department of Clinical Sciences, Lund University, Malmo, Sweden



It is unclear if the outcomes differ in different subtypes of olecranon fractures.


Evaluate the outcomes of different Colton types of olecranon fractures, and if outcomes differ in dominant and non-dominant arms and in men and women.


We evaluated primary journals and radiographs in 40 men and 55 women with isolated olecranon fractures and classified fractures according to Colton. Mean 19 years after fracture event, we re-examined subjective, clinical and radiographic outcomes in the former patients, using the uninjured arms as controls.


89% of patients with Colton type I fractures reported at follow-up no subjective differences between the elbows, 84% with type II oblique/transverse fractures and 84% with type II comminuted fractures (p=0.91). The uninjured to former fractured arm differences in elbow range of motion and strength were no different in the 3 fracture types, the proportions of individuals with radiographic elbow degenerative changes were greater in type II than in type I factures (p<0.001), and there were no differences between the proportions of individuals with reduced joint space in the 3 groups (p=0.40). The outcomes were no different if the fractures had occurred in the dominant or non-dominant arms (p=0.43), or in men or women (p=0.43).


There were no different outcomes after Colton type I, type II oblique/transverse or type II comminuted fractures, no different outcomes between fractures in dominant or non-dominant arms and no different outcomes in men and women.

Keywords: Colton, Fracture, Men, Objective, Olecranon, Radiographic, Subjective, Women.

Article Information

Identifiers and Pagination:

Year: 2019
Volume: 13
First Page: 208
Last Page: 216
Publisher Id: TOORTHJ-13-208
DOI: 10.2174/1874325001913010208

Article History:

Received Date: 09/06/2019
Revision Received Date: 12/09/2019
Acceptance Date: 17/09/2019
Electronic publication date: 15/11/2019
Collection year: 2019

© 2019 Schewelov et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Departments of Orthopaedics and Radiology, Skane University Hospital, Scania, Sweden; Tel: +46 40 331000; Fax: +46 40 331000; E-mail:

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