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[Fractures of the coronoid process]
N Bousselmame1, M Boussouga, S Bouabid
1Service de traumatologie orthopédie I, hôpital militaire Mohamed V, Rabat, Maroc.
Chirurgie De La Main
|January 9, 2001
Summary
This study reviewed 22 coronoid process fractures, finding the Reagan and Morrey classification effective. Surgical fixation is recommended for most fractures, with immobilization suitable for select cases.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Upper Extremity Fractures
Background:
- Fractures of the coronoid process of the ulna are complex injuries.
- A retrospective review of 22 cases was conducted to analyze classification and treatment outcomes.
Purpose of the Study:
- To evaluate the utility of the Reagan and Morrey classification for coronoid process fractures.
- To determine optimal treatment strategies based on fracture type and associated injuries.
Main Methods:
- Retrospective analysis of 22 cases of coronoid process fractures.
- Classification according to the Reagan and Morrey system.
- Review of treatment methods including immobilization and surgical fixation.
Main Results:
- 22 cases analyzed (18 males, 4 females; mean age 26).
- Fracture types: 11 Type I, 7 Type II, 4 Type III.
- Associated injuries included elbow dislocation (16 cases) and radial head fracture (4 cases).
- Optimal outcomes for Type II and III fractures achieved with open reduction and internal fixation.
- Immobilization yielded good results for Type I fractures.
Conclusions:
- The Reagan and Morrey classification is highly useful for coronoid process fractures.
- Open reduction and internal fixation with antero-posterior lag-screw is the preferred treatment for non-comminuted Type I and II fractures.
- Immobilization for approximately two weeks is effective for Type I fractures.