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. 2023 Aug 6;43:102230. doi: 10.1016/j.jcot.2023.102230

Table 2.

Conservative treatment protocol.

Timepoint Immobilization technique Follow-up plain radiography Physical therapy
Initial Coaptation slab 90° elbow flexion and arm sling May need to evaluate the reduction and position of the slab
  • -

    Allow elbow F/E

  • -

    Shoulder abduction not allowed

1–2 weeks Functional bracing and arm sling
Continuously adjust the fitness of brace
X-ray immediately after bracing
  • -

    Active elbow F/E

  • -

    Gradual passive shoulder flexion

6 weeks
  • X-ray at 6 weeks.

  • If any of the following conditions are found, convert to surgery.

  • 1)

    No radiographic sign of union or clinical union

  • 2)

    Does not match the acceptable alignment

  • 3)

    Increased fracture gap

  • -

    Active shoulder F/E and abduction

Abbreviations: F/E; flexion/extension.