Description
This video presentation features Lee Van Rensburg discussing the nuances of fixing coronoid fractures in elbow injuries, particularly in the context of ulnar fracture dislocations. He emphasizes the importance of addressing coronoid issues when they hinder elbow movement, advocating for intervention when necessary to ensure stabilizing congruence.
Van Rensburg compares two cases—one involving a 45-year-old with a type I coronoid fracture from a standing fall and another involving a 16-year-old who fell off his bicycle and experienced a type II fracture. Throughout the presentation, he discusses X-ray interpretations, classifications, and specific anatomical considerations relevant to treatment strategies.
Key points include:
1. Fixing obvious fractures (e.g., large coronoid fracture associated with instability).
2. The significance of smaller coronoid pieces, particularly the sublime tubercle, in maintaining elbow stability.
3. The importance of imaging in diagnosing and determining the need for surgical intervention, coupled with hands-on surgical techniques, including the use of specific plating.
4. The distinction between which fractures require surgical fixation based on their impact on elbow congruence and stability.
5. Insights on patient outcomes post-surgery, including functional recovery timelines, and considerations on approach techniques, identifying the anterior and medial aspects for effective reconstruction.