Executive Editor: Peter Trafton, Michael Baumgaertner

Authors: Peter Kloen, David Ring

Proximal forearm Ulna, articular, coronoid

back to skeleton

Glossary

Coronoid fracture without fracture of the radial head is often associated with a varus posteromedial rotational instability (avulsion of the origin of the lateral collateral ligament).

Nonoperative
Indication summary Skill Equipment
Well aligned joint on 3DCT and reliability patient Basic surgical experience, no specialized skills Basic equipment only

Further indications

  • Infirm, dependent patient

Contraindications

  • Polytrauma
  • Open fracture

Advantages

  • Avoid medical and surgical risks

Disadvantages

  • Residual subluxation can cause arthritis and may not be possible to successfully treat weeks or months later.
Temporary external fixation
Indication summary Skill Equipment
Extensive soft-tissue damage Some specialized surgical experience Simple surgical and imaging resources

Further indications

  • Infection or severe contamination
  • Major bone loss
  • Joint instability
  • Polytraumatized patients (damage control)

Advantages

  • Quick procedure
  • Easy to perform
  • No additional damage to already injured tissue
  • Stabilizes the fracture for soft-tissue healing

Disadvantages

  • Temporary procedure
  • Pin-track complications
  • Iatrogenic nerve injury
Repair of coronoid fracture
Indication summary Skill Equipment
Coronoid fracture with elbow subluxation Highly experienced and skilled surgeon Simple surgical and imaging resources

Contraindications

  • Small coronoid fracture in unquestionably stable elbow
  • Infirm and dependent patient

Advantages

  • Prevents joint subluxation

Disadvantages

  • Technically demanding
  • Risk of nerve injury
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v2.0 2018-04-30