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Arthroscopically assisted coronoid fracture fixation: a preliminary report
Michael R Hausman1, Raymond A Klug, Sheeraz Qureshi
1Department of Orthopaedics, Mount Sinai School of Medicine, One Gustave Levy Place, Box 1188, New York, NY 10029, USA. michael.hausman@msnyuhealth.org
Clinical Orthopaedics and Related Research
|October 9, 2008
Summary
Arthroscopically assisted surgery is feasible for treating small coronoid fractures, restoring elbow function and stability. This minimally invasive approach allows for precise repair without significant soft tissue damage.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Elbow Trauma
Background:
- Coronoid fractures, particularly Regan and Morrey Types I and II (O'Driscoll Types I and II), can lead to ulnohumeral joint instability.
- Traditional open reduction and fixation may involve extensive soft tissue dissection, potentially impacting outcomes.
Purpose of the Study:
- To evaluate the feasibility and outcomes of arthroscopically assisted reduction and fixation for small coronoid fractures.
- To assess the efficacy of this technique in restoring elbow stability and function.
Main Methods:
- A prospective study involving four consecutive patients with Type I or II coronoid fractures and elbow instability.
- Arthroscopically assisted reduction and fixation of the coronoid fracture and anterior capsule repair.
- Clinical and functional evaluation at a minimum of 1-year follow-up.
Main Results:
- All four patients achieved a functional range of motion (average 2.5°–140° flexion/extension) and full pronation/supination.
- No recurrent elbow instability was observed in any patient.
- One patient required minor suture removal for prominence.
Conclusions:
- Arthroscopically assisted management is a viable technique for small coronoid fractures, offering excellent visualization for anatomic repair.
- This minimally invasive approach preserves soft tissues, enabling effective fixation and capsule repair, leading to good functional recovery and stability.
