Coronoid Fracture Height in Terrible-Triad Injuries

Doornberg, Job N.; Duijn, Joppe van; Ring, David

doi:10.1016/j.jhsa.2006.01.004

Cited by 110 publications

(57 citation statements)

References 10 publications

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“…Fracture dislocation of the elbow joint is often accompanied by disruption of one or more bony stabilizers, and thus pathophysiology of the elbow fracture dislocation is complicated. Generally, the stability of the joint cannot be secured by closed reduction because of the impaired function of these bony fragments which are very small in size but play crucial role in the biomechanical stability [5] . Biepicondylar fracture dislocation of the elbow joint was reported by several authors in the literature [6][7][8][9] .…”

Section: Discussionmentioning

confidence: 99%

Biepicondylar fracture dislocation of the elbow joint concomitant with ulnar nerve injury

Konya¹

2013

WJO

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In this article, we present a case of humeral biepicondylar fracture dislocation concomitant with ulnar nerve injury in a seventeen year-old male patient. Physical examination of our patient in the emergency room revealed a painful, edematous and deformed-looking left elbow joint. Hypoesthesia of the little finger was also diagnosed on the left hand. Radiological assessment ended up with a posterior fracture dislocation of the elbow joint accompanied by intra-articular loose bodies. Open reduction-Internal fixation of the fracture dislocation and ulnar nerve exploration were performed under general anesthesia at the same session as surgical treatment of our patient. Physical therapy and rehabilitation protocol was implemented at the end of two weeks post-operatively. Union of the fracture lines, as well as the olecranon osteotomy site, was achieved at the end of four months post-operatively. Ulnar nerve function was fully restored without any sensory or motor loss. Range of motion at the elbow joint was 20-120 degrees at the latest follow-up.© 2013 Baishideng. All rights reserved. Key words: Elbow injury; Fracture dislocation; Biepiconylar humeral fracture; Ulnar nerve injuryCore tip: Elbow joint posterior fracture-dislocations accompanied by neurovascular injuries are generally require surgical intervention. In this article, we present a case of humeral biepicondylar fracture dislocation concomitant with ulnar nerve injury in a seventeen yearold male patient. We obtained a successful clinical result by applying open reduction-internal fixation of the fracture dislocation and ulnar nerve repair at the same session as surgical treatment of this case. Although elbow fracture-dislocations with neurovascular complications are rarely seen, assessment of the neurovascular status in emergency room should always be a crucial part of physical examination which may affect the clinical result of the treatment.

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Section: Discussionmentioning

confidence: 99%

Biepicondylar fracture dislocation of the elbow joint concomitant with ulnar nerve injury

Konya¹

2013

WJO

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“…Associated coronoid fractures are usually type 1 or tip fractures according to the O'Driscoll classification [11]. On average, they involve 35 % of the coronoid height or 7 mm [12]. Radial head fractures typically involve the anterolateral quadrant [13].…”

Section: Terrible Triadmentioning

confidence: 99%

Treatment of complex elbow fracture-dislocations

Chan

King

Faber

2016

Curr Rev Musculoskelet Med

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Successful management of complex elbow fracture-dislocations requires, in part, recognition of the overall injury pattern, which can aid in the identification of concomitant bony and soft tissue injuries. Trans-olecranon fracture-dislocations are best treated surgically with stable anatomic restoration of the trochlear notch. Terrible triad elbow injuries are believed to be caused by a valgus posterolateral force. Although select terrible triad injuries can be managed non-operatively, the majority of injuries are treated with stable surgical repair to allow early elbow motion. Unlike terrible triads, varus posteromedial forces are theorized to cause anteromedial coronoid fractures. These are usually associated with LCL disruptions, but do not have concomitant MCL or radial head injuries. A subset of anteromedial coronoid fractures can also be managed non-operatively. Internal fixation is recommended for injuries associated with large fracture fragments or elbow instability preventing early motion.

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“…4,15,[18][19][20][21][22][23] The specific mechanisms of coronoid fracture (and elbow dislocation) are varied and can involve twisting and flexion, as well as hyperextension. 5,10,22,24,25 When the elbow is axially loaded in extension, force is concentrated on the articular surface of the coronoid process. In large coronoid fractures this anterior buttress is completely disrupted.…”

Section: Mechanism Of Injurymentioning

confidence: 99%