A novel approach for coronoid fractures

Dave R. Shukla, Steven M. Koehler, Sara M. Guerra, Michael R. Hausman

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


The coronoid process serves as an important constraint that provides ulnohumeral joint stability. We describe a novel approach to coronoid fractures that minimizes surgical dissection, without compromising fracture visualization. We present the case of a 65-year-old woman who sustained an anteromedial facet fracture of the coronoid process. The elbow demonstrated intractable posteromedial instability and the inability to maintain reduction even up to 90 degrees. This report describes a surgical approach to the coronoid process that minimizes extensive soft tissue dissection. It is a variation of the previously described approach by Taylor and Scham, although it can achieve a similar exposure without elevation of the entirety of the flexor-pronator mass. Our approach involves a limited skin incision, followed by elevation of enough of the flexor-pronator mass such that adequate visualization of the posterior medial collateral ligament (which was repaired), anteromedial facet, and the fractured fragment of coronoid were achieved. Moreover, this approach enables the course of the ulnar nerve to remain unaltered.

Original languageEnglish (US)
Pages (from-to)189-193
Number of pages5
JournalTechniques in Hand and Upper Extremity Surgery
Issue number4
StatePublished - Dec 12 2014
Externally publishedYes


  • coronoid fixation
  • Coronoid fracture
  • elbow injury
  • posteromedial rotatory instability

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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