Olecranon fractures have historically been treated with tension band wires and recently plates. Plate and tension band hardware have been associated with soft tissue irritation from hardware prominence and migration due to improper seating at the time of surgery. Another…
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Introduction Proximal ulna fractures and fracture-dislocations present a unique challenge to the orthopedic surgeon. It is one of the few joints with multiple articulations and degrees of freedom. Due to these intricate relationships, the disruption of the elbow’s complex osseous…
The elbow is a complex joint comprising three distinct articulations and stabilized by multiple osseous and ligamentous structures. As a result, elbow instability can be a challenging problem to successfully treat. Elbow instability can present on a spectrum of severity,…
Indications Indications for open reduction internal fixation of a medial coronoid fracture include a large medial coronoid fracture in the setting of an unstable elbow. Regan and Morrey described coronoid fractures based upon the lateral plain film radiographs ( Fig.…
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Relevant Anatomy The elbow is a complex hinge joint connecting the distal end of the humerus with the proximal ends of the radius and ulna, forming three articulations: the ulnohumeral, radiocapitellar, and proximal radioulnar joints ( Fig. 47.1 ). The…
Indications Radial head arthroplasty (RHA) is a valuable surgical option for complex, comminuted radial head fractures with associated elbow instability. An RHA is recommended when anatomic repair and fixation of a radial head fracture is not possible and removal of…
Indications Open reduction internal fixation (ORIF) is recommended for Mason Type II fractures with a mechanical block and Mason Type III fractures where stable fracture fixation is feasible. Radial head fractures with concomitant injuries (e.g., coronoid, olecranon, and/or capitellum fractures)…
Introduction Fractures of the radial head are the most common elbow injuries, accounting for approximately 30% of all elbow fractures in adult patients. The majority of patients are between 20 and 64 years of age with no gender predominance. ,…