The Volar Plating of Fracture of the Coronoid Process: Report of Two Cases

Jung,  Gu Hee; Cho,  Chul Hyun; Jang,  Jae Ho; Kim,  Jae Do

doi:2010.13.2.260

Clin Shoulder Elb > Volume 13(2); 2010 > Article

Case Report

Clinics in Shoulder and Elbow 2010;13(2):260-265.
DOI: https://doi.org/10.5397/CiSE.2010.13.2.260 Published online December 31, 2010.

The Volar Plating of Fracture of the Coronoid Process: Report of Two Cases

Gu Hee Jung, Chul Hyun Cho, Jae Ho Jang, Jae Do Kim

¹Department of Orthopedic Surgery, Gospel Hospital, Kosin University, Busan, Korea. jyujin2001@kosin.ac.kr
²Department of Orthopaedic Surgey, School of Medicine, Keimyung University, Daegu, Korea.

구상돌기 골절에서 내측 접근법을 통한 전방 금속판 고정술 - 2예 보고 -

정구희·조철현*·장재호·김재도

고신대학교 복음병원 정형외과학교실, 계명대학교 의과대학 정형외과학교실*

Abstract

PURPOSE
To report the clinical results of two cases of coronoid process fractures that were treated with volar plating through a medial approach. MATERIALS AND METHODS: Two fractures of the coronoid process that needed to be fixed were managed with open reduction and internal fixation through a medial approach using 2.4 mm locking compression plates (Compact Hand set(R), Synthes, Switzerland). The patients were followed up for 14 months and 17 months and were evaluated using the Mayo Elbow Performance Score (MEPS).
RESULTS
The MEPS was 95 for Case 1 and 100 for Case 2. Active elbow joint motions were 5degrees-120degrees (Case 1) and 0degrees-130degrees(Case 2). Supination and pronation fully recovered.
CONCLUSION
Satisfactory results can be obtained in cases of coronoid process fractures because volar plating through a medial approach allows sound fixation and early mobilization of the elbow joint.

Key Words: Coronoid process; Fracture; 2.4 mm locking compression plate; Volar plating