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Non surgically managed anteromedial coronoid fractures in posteromedial rotatory instability: three cases with 2 years follow-up.
Arch Orthop Trauma Surg. 2013 Dec; 133(12):1665-8.AO

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.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Korea University Guro Hospital, 97 Gurodong-gil, Guro-gu, Seoul, 152-703, Korea, moonjg@korea.ac.kr.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23995551

Citation

Moon, Jun-Gyu, et al. "Non Surgically Managed Anteromedial Coronoid Fractures in Posteromedial Rotatory Instability: Three Cases With 2 Years Follow-up." Archives of Orthopaedic and Trauma Surgery, vol. 133, no. 12, 2013, pp. 1665-8.
Moon JG, Bither N, Jeon YJ, et al. Non surgically managed anteromedial coronoid fractures in posteromedial rotatory instability: three cases with 2 years follow-up. Arch Orthop Trauma Surg. 2013;133(12):1665-8.
Moon, J. G., Bither, N., Jeon, Y. J., & Oh, S. M. (2013). Non surgically managed anteromedial coronoid fractures in posteromedial rotatory instability: three cases with 2 years follow-up. Archives of Orthopaedic and Trauma Surgery, 133(12), 1665-8. https://doi.org/10.1007/s00402-013-1846-y
Moon JG, et al. Non Surgically Managed Anteromedial Coronoid Fractures in Posteromedial Rotatory Instability: Three Cases With 2 Years Follow-up. Arch Orthop Trauma Surg. 2013;133(12):1665-8. PubMed PMID: 23995551.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non surgically managed anteromedial coronoid fractures in posteromedial rotatory instability: three cases with 2 years follow-up. AU - Moon,Jun-Gyu, AU - Bither,Nitin, AU - Jeon,Young-Jin, AU - Oh,Sung-Mok, Y1 - 2013/09/01/ PY - 2013/05/28/received PY - 2013/9/3/entrez PY - 2013/9/3/pubmed PY - 2014/7/2/medline SP - 1665 EP - 8 JF - Archives of orthopaedic and trauma surgery JO - Arch Orthop Trauma Surg VL - 133 IS - 12 N2 - 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. SN - 1434-3916 UR - https://www.unboundmedicine.com/medline/citation/23995551/Non_surgically_managed_anteromedial_coronoid_fractures_in_posteromedial_rotatory_instability:_three_cases_with_2_years_follow_up_ L2 - https://dx.doi.org/10.1007/s00402-013-1846-y DB - PRIME DP - Unbound Medicine ER -