Case: Gymnasts may suffer elbow injuries due to repetitive loading. However, coronoid stress fractures remain uncommon. We report a case of a high-level female competitive gymnast with a nondisplaced coronoid stress fracture that failed to heal with conservative management. Arthroscopic-assisted in situ fixation of the coronoid nonunion was performed, and the gymnast returned to competition after the fracture healed.
Conclusion: Coronoid stress fractures should be considered in gymnasts presenting with chronic elbow pain. If nonoperative treatment is unsuccessful, arthroscopic fixation can be successful in stimulating healing of the nonunion without the morbidity of an open approach or bone grafting.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.2106/JBJS.CC.20.00089 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Internal brace augmentation in elbow varus posteromedial rotatory instability (VPMRI) allows early rehabilitation and prevents stiffness.
Arch Orthop Trauma Surg
December 2024
Sporthopaedicum Regensburg, Regensburg, Germany.
Purpose: Varus posteromedial rotatory instability (VPMRI) involves anteromedial coronoid fracture (AMCF), lateral ulnar collateral ligament (LUCL), and medial collateral ligament (MCL) injury. There is no general consensus regarding the surgical treatment, but most surgeons recommend internal fixation of the coronoid along with primary ligament repair. This methodology involves postoperative immobilization to allow ligament healing, occasionally associated with stiffness.
View Article and Find Full Text PDFFactors associated with the choice of treatment for coronoid fractures.
Bone Joint J
October 2024
Amsterdam Shoulder and Elbow Center of Expertise, OLVG, Amsterdam, Netherlands.
Article Synopsis
- * After three rounds of surveys, 18 out of 68 factors were identified as influential, with stable consensus on factors that favor operative treatment including professional athlete status and specific fracture characteristics.
- * Most disagreement arose regarding treatment for certain injuries, especially those involving an anterolateral coronoid tip fracture, indicating a need for more clarity in treatment guidelines among surgeons.
Mandibular biomechanics rehabilitated with different prosthetic restorations under normal and impact loading scenarios.
BMC Oral Health
August 2024
Biomedical Engineering Department, Faculty of Engineering, Helwan University, Cairo, Egypt.
Article Synopsis
- - The study examines how different materials used in prosthetic restorations affect the biomechanical performance of edentulous mandibles during everyday and impact conditions.
- - Various materials like titanium, zirconia, and BIOHPP were tested to see how they handle stress under different scenarios, revealing significant differences in stress distribution among the mandible's anatomical areas.
- - Results showed that specific restorations caused varying levels of tensile and compressive stresses, with certain configurations putting different parts of the mandible under higher risk during biting and impact situations.
Digital smart internal fixation surgery for coronal process basal fracture with normal joint spaces or radius-shortening: Occult factor of radius-ulna load sharing.
Ann Anat
June 2024
Institute of Digitized Medicine and Intelligent Technology, Wenzhou Medical University, Wenzhou 325035, China. Electronic address:
Article Synopsis
- The study examines the impact of humeral joint spaces on the stability of elbow fixations after coronoid fractures.
- Researchers created 3D models comparing normal elbow spaces to those with radius shortening, using finite element analysis to assess biomechanical stress.
- Findings indicate that maintaining normal joint spaces leads to better stress distribution and lower maximum stresses in smart fixation models, which may improve load-sharing between the radius and ulna.
Suture Button Repair for Lateral Ulnar Collateral Ligament in Terrible Triad Injuries: Surgical Technique.
Arthrosc Tech
February 2024
Columbia University Medical Center, New York, New York, U.S.A.
Terrible triad injuries are typically treated surgically to restore elbow stability, as the radial head acts as a secondary stabilizer to valgus stress, while the coronoid provides stability against posterior elbow dislocations. The lateral ulnar collateral ligament (LUCL) is also commonly injured in terrible triad of the elbow injuries, and if not repaired, leads to posterolateral rotatory instability. Depending on the fracture pattern and size, the radial head fracture may be treated with open reduction internal fixation (ORIF), arthroplasty, or excision, whereas the coronoid fracture is most commonly treated with ORIF.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!