Abstract
Coronoid process fractures are characteristic of particular patterns of elbow instability. Although the coronoid fracture does not always require surgical stabilization, the associated osseous and ligamentous injuries must be recognized and treated to prevent poor outcomes. Advances in the classification, surgical approaches, and fixation methods have improved our ability to understand and treat these complex fractures. Plating of the coronoid provides a buttress effect and is used for larger fragments to prevent chronic subluxation/dislocation. This chapter concentrates on the diagnosis and classification of coronoid fractures as well as the surgical technique for plate fixation.
Dr. Watts is a design surgeon for the Medartis coronoid plate. He receives no royalties for the use of the device but has been employed as a consultant by Medartis.
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References
Regan W, Morrey B. Fractures of the coronoid process of the ulna. J Bone Joint Surg Am. 1989;71:1348–54.
O’Driscoll SW, Jupiter JB, Cohen MS, Ring D, McKee MD. Difficult elbow fractures: pearls and pitfalls. Instr Course Lect. 2003;52:113–34.
Pollock JW, Brownhill J, Ferreira LM, McDonald CP, Johnson JA, King GJ. Effect of the posterior bundle of the medial collateral ligament on elbow stability. J Hand Surg Am. 2009;34:116–23. https://doi.org/10.1016/j.jhsa.2008.09.016.
Rhyou IH, Kim KC, Lee J-H, Kim SY. Strategic approach to O'Driscoll type 2 anteromedial coronoid facet fracture. J Shoulder Elb Surg. 2014;23:924–32. https://doi.org/10.1016/j.jse.2014.02.016.
Papatheodorou LK, Rubright JH, Heim KA, Weiser RW, Sotereanos DG. Terrible triad injuries of the elbow: does the coronoid always need to be fixed? Clin Orthop Relat Res. 2014;472:2084–91. https://doi.org/10.1007/s11999-014-3471-7.
Taylor TK, Scham SM. A posteromedial approach to the proximal end of the ulna for the internal fixation of olecranon fractures. J Trauma. 1969;9:594–602.
Hotchkiss RN, Kasparyan NG. The medial “over the top” approach to the elbow. Tech Orthop. 2000;15(2):105–12.
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Phadnis, J., Watts, A.C. (2020). Coronoid Process Fractures and Plate Fixation. In: Bain, G., Eygendaal, D., van Riet, R. (eds) Surgical Techniques for Trauma and Sports Related Injuries of the Elbow. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58931-1_39
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DOI: https://doi.org/10.1007/978-3-662-58931-1_39
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