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The Treatment of Coronoid Fractures and their Complications

  • Alberto G. Schneeberger

Abstract

Fractures of the coronoid process often occur as combined injuries with ligamentous tears and various osseous lesions. Previously, the treatment of such injuries was often focused on the associated lesions such as the fractured radial head. This was due in part to the rather difficult approach to the coronoid. In addition, the importance of the coronoid process has been rather underestimated.

Keywords

Internal Fixation Radial Head Medial Collateral Ligament Coronoid Process Radial Head Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Regan W, Morrey BF (1989) Fractures of the coronoid process of the ulna. J Bone Joint Surg Am 71:1348–1354PubMedGoogle Scholar
  2. 2.
    O’Driscoll SW, Jupiter JB, King GJW, Hotchkiss RN, Morrey BF (2000) The unstable elbow. J Bone Joint Surg Am 82:724–738CrossRefGoogle Scholar
  3. 3.
    Ring D, Jupiter JB, Zilberfarb J (2002) Posterior dislocation of the elbow with fractures of the radial head and coronoid. J Bone Joint Surg Am 84:547–551PubMedGoogle Scholar
  4. 4.
    Terada N, Yamada H, Seki T et al (2000) The importance of reducing small fractures of the coronoid process in the treatment of unstable elbow dislocation. J Shoulder Elbow Surg 9:344–346PubMedCrossRefGoogle Scholar
  5. 5.
    Schneeberger AG, Sadowski MM, Jacob HA (2004) Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow. J Bone Joint Surg Am 86:975–982PubMedGoogle Scholar
  6. 6.
    O’Driscoll SW, Jupiter JB, Cohen MS et al (2003) Difficult elbow fractures: pearls and pitfalls. Instr Course Lect 52:113–134PubMedGoogle Scholar
  7. 7.
    Hotchkiss RN (1996) Fractures and dislocations of the elbow. In: Rockwood CA Jr, Green DP, Buchholz RW, Heckman JD (eds) Fractures in Adults. Lippincott-Raven, Philadelphia, pp 980–981Google Scholar
  8. 8.
    Cohen MS, Hastings H (1998) Acute elbow dislocation: evaluation and management. J Am Acad Orthop Surg 6:15–23PubMedGoogle Scholar
  9. 9.
    Bousselmame N, Boussouga M, Bouabid S et al (2000) Les fractures de l’apophyse coronoïde. Chir Main 2:286–293Google Scholar
  10. 10.
    King GJ, Zarzour ZD, Rath DA et al (1999) Metallic radial head arthroplasty improves valgus stability of the elbow. Clin Orthop Relat Res 368:114–125PubMedCrossRefGoogle Scholar
  11. 11.
    Cohen MS (2004) Fractures of the coronoid process. Hand Clin 20:443–453PubMedCrossRefGoogle Scholar
  12. 12.
    McKee MD, Pugh DM, Wild LM et al (2005) Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. Surgical technique. J Bone Joint Surg 87[Suppl 1]:22–32PubMedCrossRefGoogle Scholar
  13. 13.
    Cobb TK, Morrey BF (1995) Use of distraction arthroplasty in unstable fracture dislocations of the elbow. Clin Orthop Relat Res 312:201–210PubMedGoogle Scholar
  14. 14.
    Kocher T (1911) Textbook of Operative Surgery. A and C Black, LondonGoogle Scholar
  15. 15.
    Kaplan EB (1941) Surgical approaches to the proximal end of the radius and its use in fractures of the head and neck of the radius. J Bone Joint Surg 86Google Scholar
  16. 16.
    Taylor TKF, Scham SM (1969) A posteromedial approach to the proximal end of the ulna for the internal fixation of olecranon fractures. J Trauma 9:594–602PubMedCrossRefGoogle Scholar
  17. 17.
    Hotchkiss RN (1998) Surgical technique. In: Hotchkiss R (ed) Compass Universal Hinge. Surgical Technique. Smith and Nephew, Memphis, pp 8–12Google Scholar
  18. 18.
    Ameur NE, Rebouh M, Oberlin C (1999) La voie d’abord antérieure transbrachiale de l’apophyse coronoïde. Ann Chir Main 18:220–223CrossRefGoogle Scholar
  19. 19.
    Bryan RS, Morrey BF (1982) Extensive posterior exposure of the elbow. A triceps-sparing approach. Clin Orthop Relat Res 166:188–192PubMedGoogle Scholar
  20. 20.
    Dowdy PA, Bain GI, King GJ, Patterson SD (1995) The midline posterior elbow incision. An anatomical appraisal. J Bone Joint Surg Br 77:696–699PubMedGoogle Scholar
  21. 21.
    Morrey BF (2000) Surgical exposures of the elbow. In: Morrey BF (ed) The elbow and its disorders. Sanders Company, pp 116–128Google Scholar
  22. 22.
    Closkey RF, Goode JR, Kirschenbaum D, Cody RP (2000) The role of the coronoid process in elbow stability. A biomechanical analysis of axial loading. J Bone Joint Surg Am 82:1749–1753PubMedGoogle Scholar
  23. 23.
    Kohls-Gatzoulis J, Tsiridis E, Schizas C (2004) Reconstruction of the coronoid process with iliac crest bone graft. J Shoulder Elbow Surg 13:217–220PubMedCrossRefGoogle Scholar
  24. 24.
    Gunal I, Hazer B, Seber S et al (2001) Prevention of heterotopic ossification after total hip replacement: a prospective comparison of indomethacin and salmon calcitonin in 60 patients. Acta Orthop Scand 72:467–469PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Alberto G. Schneeberger
    • 1
  1. 1.Shoulder & Elbow SurgeryUniversity of ZurichZurichSwitzerland

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