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Coronoid Fractures: From Understanding to Management

March 01, 2020

Contributors: Gabriele Agati, MD; Davide Blonna, MD; Filippo Castoldi, MD; Antongiulio Marmotti, MD; Lorenzo Mattei, MD; Gianpaolo Torasso, MD; Enrico Bellato, MD

2020 AWARD WINNER Coronoid fractures are rare; however, proper management is mandatory because missed diagnosis or poor management, even of small coronoid fractures, may lead to elbow dysfunction, such as complex persistent instability or early osteoarthritis. Coronoid fractures typically occur subsequent to elbow dislocation or subluxation. CT should be obtained to properly classify the injury and guide management. Coronoid fractures are classified as tip, anteromedial, or basal fractures based on the O'Driscoll classification. Other factors, such as the number and size of the fracture fragments and associated lesions, must be considered to determine the best treatment option. Occasionally, nonsurgical management is an option; however, it must be selected with caution. Surgical management often consists of fracture fixation and ligament repair. Arthroscopy may be an option for patients with a noncomminuted coronoid fracture.

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