APEX Elbow Mastering Surgical Techniques for Clinical Success-Coronoid Fractures

Video Transcription

Video Summary

The talk covers coronoid fractures with focus on anatomy, biomechanics, injury mechanisms, classification, and treatments, especially in fracture dislocations related to posterolateral rotatory instability (PLRI). The coronoid stabilizes the elbow anteriorly and medially; fractures >30% often cause instability. Small tip fractures usually don't require surgery unless associated with ligament or radial head injury. Fixation techniques vary by fragment size and location: sutures for small fragments and screws or plates for large ones. Medial approaches address large anterior medial fractures. Emphasis is on restoring stability, often prioritizing capsule repair and maintaining joint congruity for optimal outcomes.

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William R. Aibinder, MD

Keywords

coronoid fractures

elbow stability

posterolateral rotatory instability

fracture fixation techniques

medial approach