Fracture coronoid process of ulna

Simplifying fracture of the coronoid process of ulna. All information have been taken from authentic sources.

1. Fracture coronoid process of ulna Dr. Ashiqur Rahman Resident Orthopedics Dhaka Medical college Hospital

2. Coronoid fractures occur in 10% to 15% of elbow dislocations . C lassified into three types, as described by Regan and Morrey: 1. Type I : - fracture of the intraarticular tip of the coronoid (no long-term instability ); 2. Type II : - fracture involving half or less of the coronoid (may significantly affect ulnohumeral stability); 3. Type III : - fracture involving more than half of the coronoid process (often with posterior instability)

3. - Because a coronoid fracture fragment may appear small on a lateral radiograph or may be confused with a radial fracture , CT is recommended when a coronoid fracture is suspected. - Displaced coronoid fractures should be reduced and stabilized with fixation . - Careful assessment is mandatory to ensure that the coronoid fracture is not part of a more serious injury (‘terrible triad’).

4. Treatment - Sutures can be used for fixation of small coronoid fracture fragments - And lag screws can be used for larger fragments - A distinct type of coronoid fracture, fracture of the antero- medial facet occurs from a varus force to the elbow and, if left untreated , can result in posteromedial rotary instability . - Repair of the lateral collateral ligament and ORIF of the coronoid are recommended.