Non surgically managed anteromedial coronoid fractures in posteromedial rotatory instability: Three cases with 2 years follow-up

Jun Gyu Moon, Nitin Bither, Young Jin Jeon, Sung Mok Oh

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)

Abstract

Varus posteromedial rotatory instability refers to one of the complex elbow fracture-dislocation caused by anteromedial coronoid fracture with disruption of lateral collateral ligament (LCL). Recent clinical and biomechanical studies have demonstrated that this unstable complex injury resulted in incongruence of joint, which could lead to early posttraumatic arthritis. With reports of poor result after conservative treatment, surgical treatment including anteromedial fixation and LCL repair has been strongly recommended to achieve stable joint. This case series describes three patients with anteromedial coronoid fracture who were managed conservatively with excellent outcomes. This report suggests that anteromedial coronoid fracture associated with posteromedial rotatory instability might be treated using conservative treatment in selective cases when anteromedial coronoid fracture is minimally displaced and there is no evidence of elbow subluxation.

Original languageEnglish
Pages (from-to)1665-1668
Number of pages4
JournalArchives of Orthopaedic and Trauma Surgery
Volume133
Issue number12
DOIs
Publication statusPublished - 2013 Dec

Keywords

  • Anteromedial facet
  • Coronoid
  • Nonsurgical
  • Rotatory varus instability

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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