Lateral sided elbow pain effects 1% to 3% of the general population. It is clear that lateral epicondylitis is not an inflammatory based disease and more appropriately should be named lateral epicondylosis. Significant contributions in the field of basic science has led us to a better understanding of the cause of this disease. This article reviews a most up to date understanding of this complex disease process.
Coracoid fractures are an uncommon injury and typically occur in the setting of high-energy trauma. Isolated injury to the coracoid is rare; therefore, a high suspicion for concomitant shoulder injuries should exist. These associated injuries have been shown to be acromioclavicular dislocations, clavicular and acromial fractures, scapular spine fractures, rotator cuff tears, and anterior shoulder dislocations. Although most of these shoulder injuries respond to nonsurgical treatment, there are case reports and literature reviews that present more complicated injuries requiring surgical intervention. Shoulder dislocations with associated coracoid fractures can also manifest glenoid bone loss resulting in continued instability. In this scenario, the fractured coracoid can be used to address the glenoid bone loss, as well as the continued instability. Regarding technique, other authors have described an open procedure with screw or anchor fixation. This Technical Note describes our technique for treating a displaced Ogawa type II coracoid process fracture with concomitant anterior shoulder dislocation by an arthroscopic Latarjet procedure using the fractured coracoid.
Elbow arthroscopy remains a technically demanding procedure requiring a thorough understanding of the pertinent local anatomy. Arthroscopy of the elbow is currently an area of rapid innovation. Improvements in equipment, techniques, and anatomic understanding will lead to an inevitable increase in both diagnostic and therapeutic applications.
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