Coronoid Fractures

Journal of Orthopaedic Trauma
David Ring, Taylor A Horst

Abstract

Fractures of the coronoid process of the ulna are usually part of a more complex injury. The type of coronoid fracture corresponds with a specific pattern of injury with known pitfalls and recommended treatments. Tip fractures usually correspond with dislocation of the elbow and fracture of the radial head (the so-called terrible triad of the elbow because it is prone to redislocation, subluxation, and arthrosis) and are best repaired with a suture passed through drill holes along with repair or replacement of the fractured radial head and reattachment of the lateral collateral ligament to the lateral epicondyle. Anteromedial fractures are usually part of a subluxation injury and are best addressed with a medial buttress plate and reattachment of the lateral collateral ligament. Large basilar coronoid fractures are usually part of an olecranon fracture-dislocation and are usually repaired with 1 or 2 plates and screws. Tenuous fixation is protected with temporary external fixation or cross-pinning of the joint because healing of the coronoid with concentric elbow alignment is critical. Therapeutic Level V. See Instructions for Authors for a complete description of levels of evidence.

References

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Jan 31, 2006·The Journal of Hand Surgery·Job N Doornberg, David Ring
Oct 4, 2006·The Journal of Bone and Joint Surgery. American Volume·Job N Doornberg, David C Ring
Dec 6, 2006·The Journal of Hand Surgery·David Ring
May 22, 2007·Journal of Shoulder and Elbow Surgery·Job N DoornbergDavid Ring
Oct 17, 2009·The Journal of Hand Surgery·Anneluuk LindenhoviusUNKNOWN Collaboration for Outcome Assessment in Surgical Trials
Mar 3, 2010·The Journal of Hand Surgery·Thierry G Guitton, David Ring
Sep 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Nady HamidTimothy J Lowe
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Apr 21, 2012·The Journal of Bone and Joint Surgery. American Volume·Anneluuk L C LindenhoviusDavid Ring
May 9, 2014·Journal of Shoulder and Elbow Surgery·In Hyeok RhyouSeung Yeon Kim
Jul 30, 2014·The Journal of Hand Surgery·Jos J MellemaDavid Ring

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Citations

Sep 8, 2016·Der Orthopäde·J GeßmannD Seybold
Aug 2, 2016·Journal of Orthopaedic Trauma·Dafang ZhangNeal Chen
Jan 29, 2019·Emergency Radiology·Kimia Khalatbari Kani, Felix S Chew
Feb 26, 2019·EFORT Open Reviews·Sebastian SiebenlistKarl F Braun
May 25, 2020·Clinics in Sports Medicine·Nima RezaieDaryl C Osbahr
May 19, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Qubo NiJianping Wang
Jul 3, 2021·Journal of Clinical Orthopaedics and Trauma·Qazi Manaan MasoodBijayendra Singh
Jun 18, 2021·European Journal of Radiology·Zeid Al-AniAdam C Watts
Sep 5, 2021·Skeletal Radiology·Zeid Al-AniAdam C Watts

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