Les fractures de l’apophyse coronoïde

Bousselmame, N.; Boussouga, M.; Bouabid, Salim; Galuia, F.; Taobane, H; Moulay, I.

doi:10.1016/s1297-3203(00)73493-7

Cited by 12 publications

(2 citation statements)

References 5 publications

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“…Previous studies have shown the importance of coronoid fixation in this pattern of injury to restore elbow stability and achieve favourable outcomes. [26][27][28][29] When the olecranon or ulna shaft is involved in the fracture pattern then the priority is good coronoid fixation. This should be addressed first with independent lag screws followed by fixation of the ulna with a plate.…”

Section: Discussionmentioning

confidence: 99%

Functional outcomes of elbow injuries managed according to the Wrightington classification of elbow fracture-dislocations

Hamoodi¹,

Singh²,

Elvey³

et al. 2022

Shoulder & Elbow

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Background This study aims to review the functional outcomes of patients managed by the application of the Wrightington elbow fracture-dislocation classification system and its corresponding management algorithms. Methods This is a retrospective consecutive case series of patients over the age of 16 with an elbow fracture-dislocation managed according to the Wrightington classification. The primary outcome was the Mayo Elbow Performance Score (MEPS) at the last follow-up. Range of movement (ROM) and complications were collected as a secondary outcome. Results Sixty patients qualified for inclusion (32 female, 28 male) with a mean age of 48 years (19–84). Fifty-eight (97%) patients completed a minimum of three months follow-up. Mean follow-up was six months (3–18). The median MEPS at the final follow-up was 100 (interquartile range [IQR] 85–100) and median ROM of 123° (IQR 101–130) degrees. Four patients underwent secondary surgery and had improved outcomes with the average MEPS score improving from 65 to 94 following the second surgery. Conclusions The results of this study show that good outcomes can be achieved for complex elbow fracture-dislocations through pattern recognition and management with an anatomically based reconstruction algorithm as described by the Wrightington classification system.

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Section: Discussionmentioning

confidence: 99%

Functional outcomes of elbow injuries managed according to the Wrightington classification of elbow fracture-dislocations

Hamoodi¹,

Singh²,

Elvey³

et al. 2022

Shoulder & Elbow

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“…Several small series and case reports cite a frequent incidence of concomitant hand fractures associated with fractures of the trapezium, in particular the presence of a Bennett fracture. [4][5][6][7][8][9][10] Associated ulnar-sided carpal fractures, specifically of the hook of the hamate, have also been described. These have been associated with fracture avulsion of the trapezial ridge from forces applied through the transverse carpal ligament (TCL); however, the incidence of concomitant ulnar carpal body injury has not yet been reported.…”

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confidence: 99%

Trapezial Fractures and Associated Fractures of the Ulnar Carpus: A Ring-Bone Model

2023

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Background:Fractures of the trapezium are rare; however, the incidence may be under-reported in the literature. The incidence of ulnar-sided carpal body fractures as a concomitant injury has not been reported. Our study aimed to evaluate the incidence of trapezium fractures in conjunction with ulnar-sided carpal body fractures.Methods:Over a five-year period, our electronic records were queried and charts reporting carpal bone fractures were reviewed. All cases of trapezium fracture were evaluated further and presented.Results:Eight trapezial fractures were identified, representing 8% of all carpal fractures and 26% of all nonscaphoid carpal fractures. Of the eight trapezium fractures identified, five (62.5%) were associated with Bennett fracture and four (50%) were associated with ulnar-sided carpal fractures.Conclusion:Our study demonstrates a higher incidence of trapezial fractures than previously reported. Previously unreported concomitant ulnar-sided carpal body fractures are reported at a frequency nearly equal to that of concomitant Bennett fractures in our series. We propose a mechanism of injury where the carpal canal and overlying transverse carpal ligament function as a ring-bone construct similar to the pelvis. When a trapezium fracture is identified, we recommend additional evaluation for ulnar-sided injuries of the carpus.

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Coronoid Fractures

Lasanianos¹,

Doudoulakis²

2014

Trauma and Orthopaedic Classifications

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Les fractures de l’apophyse coronoïde

Cited by 12 publications

References 5 publications

Functional outcomes of elbow injuries managed according to the Wrightington classification of elbow fracture-dislocations

Functional outcomes of elbow injuries managed according to the Wrightington classification of elbow fracture-dislocations

Trapezial Fractures and Associated Fractures of the Ulnar Carpus: A Ring-Bone Model

Coronoid Fractures

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