J Korean Fract Soc.  2012 Oct;25(4):342-351. 10.12671/jkfs.2012.25.4.342.

Current Concepts in the Treatment of Complex Elbow Fracture-Dislocation

• Shin HD
• Cha SM

• KMID: 1434078
• DOI: http://doi.org/10.12671/jkfs.2012.25.4.342

Abstract

No abstract available.

MeSH Terms

Elbow

Figure

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  Fig. 1 Algorithm for the surgical management of the terrible triad injury to the elbow. *Radial neck osteotomy in preparation for radial head replacement. †Type I coronoid fractures may not require repair. Revised from the article of Mathew PK, et al. (Fig. 5) with permission28).

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  Fig. 2 (A) Preoperative antero-posterior and lateral radiographs. (B) Regan and Morrey type I coronoid fracture, type I radial head fracture was observed in computed tomography. (C) Only lateral ulnar collateral ligament has been sutured with Mitek anchor and stability was achieved.

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  Fig. 3 Postoperative anteroposterior and lateral radiographs show reduced joint with fixation of the coronoid process.

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  Fig. 4 Illustration depicting the lasso coronoid fracture fixation technique through ulnar drill holes (Revised from Garrigues GE, et al. (Fig. 3) with permission17).

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  Fig. 5 (A) Subluxated radiocapitellar joint was observed despite manual reduction of terrible triad injury. (B) Anteroposterior and lateral radiographs of an elbow fracture-dislocation that inadequately characterized the extent of bony injury. Three-dimensional computed tomography scan showing anteromedial facet fragment and olecrenon fragment. (C) Locking plate and screws were used for fixation of coronoid fracture and olecrenon fragment.

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  Fig. 6 Anteroposterior and lateral radiographs of an elbow fracture-dislocation that inadequately characterized the extent of bony injury. Three-dimensional computed tomography scans show the radial head fracture and associated comminuted proximal ulnar and coronoid fracture.

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