Jorge L Orbay, John J Heifner, Robert R L Gray, Francisco Rubio, Nathan A Hoekzema, Deana M Mercer
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A Medial Approach That Provides Ample Exposure of the Coronoid for Fracture Management.
We describe a medial approach to the coronoid where the flexor-pronator mass is released from its humeral origin by creating a proximally based tendinous flap. This technique facilitates access to the coronoid, preservation of the medial collateral ligament origin, and repair of the flexor-pronator mass. This approach has utility for all coronoid fracture variations but especially the O'Driscoll anteromedial subtype 3, which includes fractures of the sublime tubercle, the anteromedial facet, and the coronoid tip.
期刊介绍:
Techniques in Hand & Upper Extremity Surgery presents authoritative, practical information on today"s advances in hand and upper extremity surgery. It features articles by leading experts on the latest surgical techniques, the newest equipment, and progress in therapies for rehabilitation. The primary focus of the journal is hand surgery, but articles on the wrist, elbow, and shoulder are also included. Major areas covered include arthroscopy, microvascular surgery, plastic surgery, congenital anomalies, tendon and nerve disorders, trauma, and work-related injuries.