Post-Surgery Bump on Arm After Olecranon Fracture: What to Expect?

Post-operative protrusion of the arm after an eagle beak fracture?

Hello, Doctor.
I originally had an olecranon fracture and had a plate fixation.
After the surgery, I noticed a protrusion on my arm, which I thought was the plate and didn't pay much attention to it.
A year later, the plate was removed, and a week after the surgery, I noticed that there is still a protrusion at the site where the plate was fixed.
Could you please advise if this indicates poor bone healing that requires further treatment, or will the protrusion disappear over time? Thank you for your time and assistance!

Edward, 30~39 year old female. Ask Date: 2023/09/20

Dr. Shi Guozheng reply Orthopedics

It could be bone proliferation, and if healing is not satisfactory, an X-ray is necessary to determine the condition.
You should get an X-ray and have the physician make a further diagnosis.

Reply Date: 2023/09/20

More Info

After undergoing surgery for an olecranon fracture, it is not uncommon to notice a bump or prominence at the site where the plate was fixed. This can be concerning for patients, especially if they are unsure whether this is a normal part of the healing process or an indication of complications.

First, it is essential to understand that the bump you are feeling is likely related to the healing process of the bone and the surrounding soft tissues. When a fracture occurs, the body initiates a healing response that involves the formation of a callus, which is a temporary structure that helps stabilize the fracture site. This callus can sometimes be palpable as a bump under the skin, especially in areas where surgical hardware, like plates or screws, has been used.

In your case, since you mentioned that the bump was present even after the removal of the plate, it could be due to several factors:
1. Bone Callus Formation: After the plate is removed, the bone may still have a callus that has not fully remodeled back to its original shape. This process can take time, and the bump may gradually decrease in size as the bone continues to heal and remodel.

2. Soft Tissue Changes: The surgery and the presence of the plate can lead to changes in the soft tissues around the elbow, including scar tissue formation. This scar tissue can create a palpable bump, which may feel firm or even tender.

3. Hardware Reaction: In some cases, the body may react to the presence of surgical hardware, leading to localized swelling or irritation. However, since the plate has been removed, this is less likely to be the cause of your current bump.

4. Potential Complications: Although less common, there is a possibility that the bump could indicate an issue such as nonunion (where the bone does not heal properly) or malunion (where the bone heals in an incorrect position). If the bump is accompanied by pain, decreased range of motion, or functional limitations, it would be prudent to consult your orthopedic surgeon for further evaluation.

In terms of what to expect, many patients find that these bumps can take several months to a year to fully resolve. Regular follow-up with your healthcare provider is essential to monitor the healing process. If there are no associated symptoms like pain or functional impairment, it is often safe to observe the bump over time.

If you are concerned about the bump or if it changes in size, becomes painful, or affects your range of motion, I recommend scheduling an appointment with your orthopedic surgeon. They may suggest imaging studies, such as X-rays, to assess the healing of the bone and ensure that everything is progressing as expected.

In summary, while the bump you are experiencing is likely a normal part of the healing process, it is always best to stay vigilant and consult with your healthcare provider if you have any concerns. They can provide personalized advice based on your specific situation and ensure that your recovery continues on the right track.

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