Description
In this presentation, Lee Van Rensburg discusses the complex considerations surrounding coronoid fractures, particularly in the context of elbow fracture-dislocations known as the terrible triad. He references various studies and classifications from notable authors in the field to emphasize the three-dimensional nature of the coronoid and its impact on elbow stability. Van Rensburg outlines the significance of addressing both large and small coronoid fragments, exploring the implications of fixation versus non-operative treatment, and highlighting the role of soft tissue stability. He shares clinical cases to illustrate the diagnostic process and decision-making involved in determining whether to fix coronoid fractures, stressing the importance of assessing congruity and stability in the elbow joint. Ultimately, he concludes that while not all coronoid fractures necessitate surgical intervention, careful evaluation and understanding of the injury's specifics are essential for optimal patient outcomes.
DOI: 10.1302/3114-221310