Anteromedial coronoid fractures: technical description of an extensile surgical approach and outcomes from a small series using this technique
Background: Varus posteromedial rotatory instability is a difficult clinical problem to diagnose and treat. Fixation of the anteromedial coronoid fracture is often necessary to achieve elbow stability. We describe an extensile surgical approach to the anteromedial coronoid. Methods: A retrospective...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | JSES Reviews, Reports, and Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666639122001092 |
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| author | Mikaela J. Peters, MD Oren J. Zarnett, MD Zafeiria Glaris, MSc Adrian Huang, MD Jeffrey Pike, MD Parham Daneshvar, MD Thomas Joseph Goetz, MD, BEng |
| author_facet | Mikaela J. Peters, MD Oren J. Zarnett, MD Zafeiria Glaris, MSc Adrian Huang, MD Jeffrey Pike, MD Parham Daneshvar, MD Thomas Joseph Goetz, MD, BEng |
| author_sort | Mikaela J. Peters, MD |
| collection | DOAJ |
| description | Background: Varus posteromedial rotatory instability is a difficult clinical problem to diagnose and treat. Fixation of the anteromedial coronoid fracture is often necessary to achieve elbow stability. We describe an extensile surgical approach to the anteromedial coronoid. Methods: A retrospective review was performed of all patients at our institution who had anteromedial coronoid fracture fixed with this approach between 2012 and 2020. Results: Six patients were identified. They all achieved a stable elbow. Four of 6 developed heterotopic ossification and 2/6 required further surgery for this. Only 1 patient had a transient ulnar sensory loss. Conclusion: We describe an approach to the coronoid that allows great visualization of the joint and access to large coronoid fractures. The approach is extensile and does not require extensive dissection or work around the ulnar nerve. Access to fracture and for fixation can be improved by release of the common flexor pronator origin and the medial collateral ligament. |
| first_indexed | 2024-04-10T17:43:53Z |
| format | Article |
| id | doaj.art-036d005edf964231a02192a9504844e0 |
| institution | Directory Open Access Journal |
| issn | 2666-6391 |
| language | English |
| last_indexed | 2024-04-10T17:43:53Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES Reviews, Reports, and Techniques |
| spelling | doaj.art-036d005edf964231a02192a9504844e02023-02-03T05:01:26ZengElsevierJSES Reviews, Reports, and Techniques2666-63912023-02-01318387Anteromedial coronoid fractures: technical description of an extensile surgical approach and outcomes from a small series using this techniqueMikaela J. Peters, MD0Oren J. Zarnett, MD1Zafeiria Glaris, MSc2Adrian Huang, MD3Jeffrey Pike, MD4Parham Daneshvar, MD5Thomas Joseph Goetz, MD, BEng6Department of Orthopaedic Surgery, University of British Columbia, Diamond Health Care Center, and St Paul’s Hospital Vancouver, BC, CanadaDepartment of Orthopaedic Surgery, University of British Columbia, Diamond Health Care Center, and St Paul’s Hospital Vancouver, BC, CanadaDepartment of Orthopaedic Surgery, University of British Columbia, Diamond Health Care Center, and St Paul’s Hospital Vancouver, BC, CanadaDepartment of Orthopaedic Surgery, University of British Columbia, Diamond Health Care Center, and St Paul’s Hospital Vancouver, BC, CanadaDepartment of Orthopaedic Surgery, University of British Columbia, Diamond Health Care Center, and St Paul’s Hospital Vancouver, BC, CanadaDepartment of Orthopaedic Surgery, Kingston Health Sciences Centre, Kingston, ON, CanadaDepartment of Orthopaedic Surgery, University of British Columbia, Diamond Health Care Center, and St Paul’s Hospital Vancouver, BC, Canada; Corresponding author: Thomas Joseph Goetz, MD, BEng, St Paul’s Hospital, 306F Burrard Building, 1081 Burrard St., Vancouver, BC V6Z 1Y6, Canada.Background: Varus posteromedial rotatory instability is a difficult clinical problem to diagnose and treat. Fixation of the anteromedial coronoid fracture is often necessary to achieve elbow stability. We describe an extensile surgical approach to the anteromedial coronoid. Methods: A retrospective review was performed of all patients at our institution who had anteromedial coronoid fracture fixed with this approach between 2012 and 2020. Results: Six patients were identified. They all achieved a stable elbow. Four of 6 developed heterotopic ossification and 2/6 required further surgery for this. Only 1 patient had a transient ulnar sensory loss. Conclusion: We describe an approach to the coronoid that allows great visualization of the joint and access to large coronoid fractures. The approach is extensile and does not require extensive dissection or work around the ulnar nerve. Access to fracture and for fixation can be improved by release of the common flexor pronator origin and the medial collateral ligament.http://www.sciencedirect.com/science/article/pii/S2666639122001092Varus posteromedial rotatory instabilityCoronoid fractureElbow instabilitySurgical approachTraumaElbow |
| spellingShingle | Mikaela J. Peters, MD Oren J. Zarnett, MD Zafeiria Glaris, MSc Adrian Huang, MD Jeffrey Pike, MD Parham Daneshvar, MD Thomas Joseph Goetz, MD, BEng Anteromedial coronoid fractures: technical description of an extensile surgical approach and outcomes from a small series using this technique JSES Reviews, Reports, and Techniques Varus posteromedial rotatory instability Coronoid fracture Elbow instability Surgical approach Trauma Elbow |
| title | Anteromedial coronoid fractures: technical description of an extensile surgical approach and outcomes from a small series using this technique |
| title_full | Anteromedial coronoid fractures: technical description of an extensile surgical approach and outcomes from a small series using this technique |
| title_fullStr | Anteromedial coronoid fractures: technical description of an extensile surgical approach and outcomes from a small series using this technique |
| title_full_unstemmed | Anteromedial coronoid fractures: technical description of an extensile surgical approach and outcomes from a small series using this technique |
| title_short | Anteromedial coronoid fractures: technical description of an extensile surgical approach and outcomes from a small series using this technique |
| title_sort | anteromedial coronoid fractures technical description of an extensile surgical approach and outcomes from a small series using this technique |
| topic | Varus posteromedial rotatory instability Coronoid fracture Elbow instability Surgical approach Trauma Elbow |
| url | http://www.sciencedirect.com/science/article/pii/S2666639122001092 |
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