Fractures of the ulnar coronoid process

Manidakis, Nikolaos; Sperelakis, Ioannis; Hackney, Roger; Kontakis, George

doi:10.1016/j.injury.2011.08.030

Cited by 31 publications

(20 citation statements)

References 54 publications

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“…Even though type I fractures can usually be treated non-surgically, the optimal treatment for type I coronoid process fractures remains controversial [19]. O’Driscoll [7, 13] and Doornberg and Ring [15] reported that the elbow joint instability may result from a small fracture, such as Regan and Morrey types I and II or O’Driscoll types I and II fractures.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic reduction and fixation of coronoid fractures with an exchange rod—a new technique

et al. 2017

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BackgroundThe ulnar coronoid process plays a central role in maintaining elbow stability. Some of its fractures were often combined with injury of bone and ligament. Arthroscopy enables perfect visualization to allow anatomical repair.MethodsFrom January 2012 to December 2013, six patients (four males, two females) with a mean age of 26.6 years were treated. The left and right ulnas were involved in two and four patients, respectively. All patients suffered from ipsilateral subluxation of the elbow without associated radial fracture. According to the Regan and Morrey fracture classification and O’Driscoll’s classification, two and four patients were classified as type I and type II and as having tip fracture (O’Driscoll type I) and anteromedial fracture (O’Driscoll type II), respectively. Exchange rod technology via the elbow front center approach was used for reduction and fixation of fractures of the coronoid process of the ulna.ResultsIntra- and postoperative X-ray examination showed that the fractures were satisfactorily fixed and that the screw and fracture line were vertical to each other. Follow-ups showed that the fractures had healed well, and the average elbow extension was −2° while the average flexion was 140°. No problems related to pronation or supination, elbow instability, or complications of blood vessels or nerves were reported. The elbows showed excellent results according to the Mayo Elbow Performance Score.ConclusionsArthroscopy using an exchange rod can provide excellent visual exposure of the fractured joints, without the need for a large incision during the anatomical repair. Moreover, it protects the surrounding soft tissue, shows good stability of the components, and allows early rehabilitation exercises.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic reduction and fixation of coronoid fractures with an exchange rod—a new technique

et al. 2017

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“…the technique proposed can restore elbow function, RoM and stability and allows an anatomical reconstruction of the joint after type i or type ii CPFs. the literature reports several surgical techniques for the treatment of CPFs (24)(25)(26)(27)(28). the benefits of an arthroscopic procedure include smaller incisions with less soft tissue dissection, better visualization of the joint, direct evaluation of the fracture pattern and easier anatomical reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic fixation of coronoid process fractures through coronoid tunnelling and capsular plication

Arrigoni

D’Ambrosi

Cucchi

et al. 2016

Joints

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:153-158 J oints AbstractPurpose: the purpose of this study is to describe a new arthroscopic technique for reduction and fixation of coronoid process fractures (CPFs) and report clinical and functional results in 4 patients after a 24-month follow-up. Methods: four patients underwent arthroscopic reduction and fixation of isolated CPFs (acute or nonunions, type i or type ii according to the ReganMorrey classification) performed using a new technique based on coronoid tunnelling and capsular plication. the patients were evaluated 6, 12 and 24 months after surgery, using the Disability of the Arm, shoulder and Hand scale (DAsH), the Mayo Elbow Performance index (MEPi), and a visual analog scale (VAs); elbow range of motion (RoM) and joint stability were also evaluated and the rate of complications was reported. Results: all 4 patients completed the follow-up. At 6, 12 and 24 months, respectively, they recorded mean DAsH scores of 22, 14 and 7, mean MEPi scores of 74, 82 and 94, and mean VAs scores of 4, 2 and 1. the mean RoM increased in all directions (at 6, 12 and 24 months, respectively: flexion: 112°, 125°, 144°; extension: 3°, 5°, 6°; pronation: 76°, 84°, 91°; supination: 78°, 82°, 86°). no signs of instability were observed and no complications were reported.Conclusions: the new all-arthroscopic coronoid tunnelling and capsular plication technique here proposed can restore elbow function, RoM and stability and allows anatomical reconstruction of the joint after type i or type ii CPFs. if performed by an experienced arthroscopist, it is a valid alternative to open reduction and external fixation. Level of evidence: Level iV, retrospective case series.

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“…The latter bone changes were not observed in the case in discussion. In fact, the management of large fractures of the coronoid process constitutes a challenge for orthopaedic surgeons, sometimes requiring bone and soft tissues reconstruction (Ring, 2006;Seijas et al, 2005;Manidakis et al, 2012). It is highly possible that the severity of the coronoid fracture and the presence of trauma complications have led to some degree of disability in the right upper limb with a negative impact on the individual's daily activities.…”

Section: Differential Diagnosismentioning

confidence: 99%

An unusual coronoid fracture in a fragment of ulna recovered from the Prehistoric site of Buraca da Moira Rock Shelter (Boa Vista, Leiria)

et al. 2019

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In 2015, several disarticulated human skeletal remains were identified in the top layers of the prehistoric site of Buraca da Moira Rock Shelter (Boa Vista, Leiria), during the archaeological excavation carried out under the scope of the EcoPLis — Human Occupations in the Pleistocene Ecotones of the River Lis project. The recovery of chert, constiquartz and quartzite blanks, a schist plate, as well as adornments in bone and shell indicates a Late Neolithic-Chalcolithic chronology. The disarticulated human assemblage, composed of a total of 129 bone and tooth fragments, allowed the estimation of a minimum number of six individuals. Among the remains recovered, an upper portion of an adult right ulna lacking the coronoid process was identified. Replacing it, a semi-oval groovewith smooth contours and exposing some trabecular bone was observed. The location, type of bone change, and the observed signs of bone healing are consistent with an uncommon trauma: a fracture of the coronoid process. In the differential diagnosis, both postmortem changes and developmental disturbances were considered but later excluded. The mechanisms that underlie the bone changes are discussed in light of the clinical and paleopathological literature.

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Fractures of the ulnar coronoid process

Cited by 31 publications

References 54 publications

Arthroscopic reduction and fixation of coronoid fractures with an exchange rod—a new technique

Arthroscopic reduction and fixation of coronoid fractures with an exchange rod—a new technique

Arthroscopic fixation of coronoid process fractures through coronoid tunnelling and capsular plication

An unusual coronoid fracture in a fragment of ulna recovered from the Prehistoric site of Buraca da Moira Rock Shelter (Boa Vista, Leiria)

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