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Arthroscopically Assisted Coronoid Fracture Fixation: A Preliminary Report

  • Surgical Technique
  • Published:
Clinical Orthopaedics and Related Research

Abstract

We investigated the feasibility of arthroscopically assisted reduction and fixation of small coronoid fractures and the anterior capsule for treatment of patients with Regan and Morrey Types I and II (O’Driscoll Types I and II) coronoid fractures with instability of the ulnohumeral joint. Four consecutive patients with this fracture type underwent arthroscopically assisted treatment and were evaluated at a minimum of 1 year (mean, 76 weeks; range, 58–92 weeks). All patients achieved a functional range of motion with an average flexion/extension arc of 2.5° to 140° and full pronation and supination. No patient had recurrent elbow instability. One patient had removal of a prominent suture over the subcutaneous border of the ulna. Arthroscopically assisted management of coronoid fractures can provide excellent observation, enabling anatomic repair without extensive soft tissue dissection. Preservation of the soft tissue attachments of small coronoid fragments and repair of the capsule are possible with this technique.

Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Authors and Affiliations

  1. Department of Orthopaedics, Mount Sinai School of Medicine, One Gustave Levy Place, Box 1188, New York, NY, 10029, USA

    Michael R. Hausman MD, Raymond A. Klug MD, Sheeraz Qureshi MD, Rachel Goldstein MD & Bradford O. Parsons MD

Authors
  1. Michael R. Hausman MD
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  2. Raymond A. Klug MD
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  3. Sheeraz Qureshi MD
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  4. Rachel Goldstein MD
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  5. Bradford O. Parsons MD
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Corresponding author

Correspondence to Michael R. Hausman MD.

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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Hausman, M.R., Klug, R.A., Qureshi, S. et al. Arthroscopically Assisted Coronoid Fracture Fixation: A Preliminary Report. Clin Orthop Relat Res 466, 3147–3152 (2008). https://doi.org/10.1007/s11999-008-0502-2

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  • DOI: https://doi.org/10.1007/s11999-008-0502-2

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