ArticleOrthopedic reviews2024
Coronoid fractures and complex elbow instability: current concepts.
Article in Orthopedic reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Chaos theory modeling improves olecranodiaphyseal angle prediction from proximal ulnar dorsal angulation in healthy elbows.Scientific reports · 2025Article
- Comparing the exposure of the ulna coronoid using the anterior or medial surgical approaches: a cadaveric study.JSES international · 2025Article
- Surgical Treatment of Coronoid Fracture With Elbow Varus Posteromedial Rotatory Instability: An Instructional Review.Orthopaedic surgery · 2025Review
- Ulnar Nerve Management in Complex Elbow Dislocations: A Retrospective Monocentric Study.Journal of personalized medicine · 2024Article
- Elbow Varus posteromedial rotatory instability: Reflections from a multidimensional perspective.Science progressReview
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fractures of the coronoid process typically occur as part of more complex injury patterns, such as terrible triads, trans-olecranon fracture-dislocations, posteromedial rotatory injuries or Monteggia-like lesions. Each pattern is associated with a specific type of coronoid fracture with regard to shape and size and specific soft-tissue lesions. O' Driscoll classification incorporates those associations identifying three major types of fractures: tip, anteromedial facet, and basal fractures. The objective of this study is to review the most common types of complex elbow instability, identify the indications for coronoid fixation and guide the appropriate management. Tip fractures as those seen in terrible triads can conditionally left untreated provided that elbow stability has been restored after radial head fixation and ligaments repair. Anteromedial facet fractures benefit from a buttress plate, while large basilar fractures can be effectively secured with posteroanterior screws. Coronoid reconstruction with a graft should be considered in post-traumatic cases of chronic coronoid deficiency.
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Registered trials
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