Not All Isolated Coronoid Fractures Are Anteromedial Facet Fractures: A Case Series

Description

In this presentation, Matthew Clarke, a third-year orthopedic surgery resident at the University of Alberta, discusses the intricacies of isolated coronoid fractures, particularly focusing on anteromedial facet (AMF) fractures. He emphasizes the importance of accurate diagnosis, as untreated AMF fractures can lead to severe post-traumatic arthritis in elbow stability. Clarke addresses the criteria for identifying AMF fractures as outlined by O'Driscoll and highlights the use of CT scans with 3D reconstructions, especially humeral subtraction views, to enhance diagnostic accuracy. Through detailed case studies, he presents three patients with varying fracture types: one confirmed as a true AMF fracture and two as isolated coronoid fractures, illustrating how diagnostic imaging plays a crucial role in treatment decisions. Ultimately, Clarke concludes that distinguishing between these types of fractures is vital for appropriate management to prevent under or overtreatment. He advocates for further research and collaboration across multiple centers in Canada to enhance understanding and treatment of isolated coronoid fractures.

DOI: 10.1302/3114-220897

Specialties

Conferences