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One incision-two windows approach for fixation of multifragmentary coronoid process fracture of the ulna: A case report
Since the range of access of each surgical approach around the elbow has limitations, it is difficult to treat all types of fractures using only one approach. In the case reported herein, anterior and medial fragments of the comminuted ulnar coronoid process fracture were treated by preparing two ac...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9160398/ https://www.ncbi.nlm.nih.gov/pubmed/35665199 http://dx.doi.org/10.1016/j.tcr.2022.100655 |
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author | Futamura, Kentaro Tsuichida, Yoshihiko Nishida, Masahiro Hasegawa, Masayuki Suzuki, Takafumi Sato, Ryo |
author_facet | Futamura, Kentaro Tsuichida, Yoshihiko Nishida, Masahiro Hasegawa, Masayuki Suzuki, Takafumi Sato, Ryo |
author_sort | Futamura, Kentaro |
collection | PubMed |
description | Since the range of access of each surgical approach around the elbow has limitations, it is difficult to treat all types of fractures using only one approach. In the case reported herein, anterior and medial fragments of the comminuted ulnar coronoid process fracture were treated by preparing two access routes through one skin incision and effectively performing the buttress plating of each fragment. The subject was a 27-year-old female who sustained a fracture of the coronoid process of the right ulna by falling during snowboarding. Computed tomography showed the concurrence of a type 2 subtype III and type 3 subtype I ulnar coronoid process fracture according to the O'Driscoll classification. The coronoid process was split into 3 parts: a fragment consisting of the anteromedial facet and upper half of the sublime tubercle (fragment 1), a central fragment including the tip (fragment 2), and a fragment extending from the radial side of the tip to the base of the coronoid process (fragment 3). A 12-cm-long skin incision was made on the anteromedial side of the elbow joint. The region of the anteromedial facet and sublime tubercle was reached by passage between the palmaris longus/flexor digitorum superficialis and humeral head of flexor carpi ulnaris using the over-the-top approach. Fragment 1 was fixed with a buttress plate. Using the anterior approach, the brachialis was then longitudinally split through by passage between the biceps and neurovascular bundle, fragments 2 and 3 were fixed together with a buttress plate. The “one incision-two windows” approach, which provides two approaches (the over-the-top window and the anterior window) by a single skin incision, was implemented for a multifragmentary ulnar coronoid process fracture. This approach is considered to offer access from the front to each of the anterior and medial fragments and permits appropriate buttress plate fixation. |
format | Online Article Text |
id | pubmed-9160398 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-91603982022-06-03 One incision-two windows approach for fixation of multifragmentary coronoid process fracture of the ulna: A case report Futamura, Kentaro Tsuichida, Yoshihiko Nishida, Masahiro Hasegawa, Masayuki Suzuki, Takafumi Sato, Ryo Trauma Case Rep Case Report Since the range of access of each surgical approach around the elbow has limitations, it is difficult to treat all types of fractures using only one approach. In the case reported herein, anterior and medial fragments of the comminuted ulnar coronoid process fracture were treated by preparing two access routes through one skin incision and effectively performing the buttress plating of each fragment. The subject was a 27-year-old female who sustained a fracture of the coronoid process of the right ulna by falling during snowboarding. Computed tomography showed the concurrence of a type 2 subtype III and type 3 subtype I ulnar coronoid process fracture according to the O'Driscoll classification. The coronoid process was split into 3 parts: a fragment consisting of the anteromedial facet and upper half of the sublime tubercle (fragment 1), a central fragment including the tip (fragment 2), and a fragment extending from the radial side of the tip to the base of the coronoid process (fragment 3). A 12-cm-long skin incision was made on the anteromedial side of the elbow joint. The region of the anteromedial facet and sublime tubercle was reached by passage between the palmaris longus/flexor digitorum superficialis and humeral head of flexor carpi ulnaris using the over-the-top approach. Fragment 1 was fixed with a buttress plate. Using the anterior approach, the brachialis was then longitudinally split through by passage between the biceps and neurovascular bundle, fragments 2 and 3 were fixed together with a buttress plate. The “one incision-two windows” approach, which provides two approaches (the over-the-top window and the anterior window) by a single skin incision, was implemented for a multifragmentary ulnar coronoid process fracture. This approach is considered to offer access from the front to each of the anterior and medial fragments and permits appropriate buttress plate fixation. Elsevier 2022-05-26 /pmc/articles/PMC9160398/ /pubmed/35665199 http://dx.doi.org/10.1016/j.tcr.2022.100655 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Futamura, Kentaro Tsuichida, Yoshihiko Nishida, Masahiro Hasegawa, Masayuki Suzuki, Takafumi Sato, Ryo One incision-two windows approach for fixation of multifragmentary coronoid process fracture of the ulna: A case report |
title | One incision-two windows approach for fixation of multifragmentary coronoid process fracture of the ulna: A case report |
title_full | One incision-two windows approach for fixation of multifragmentary coronoid process fracture of the ulna: A case report |
title_fullStr | One incision-two windows approach for fixation of multifragmentary coronoid process fracture of the ulna: A case report |
title_full_unstemmed | One incision-two windows approach for fixation of multifragmentary coronoid process fracture of the ulna: A case report |
title_short | One incision-two windows approach for fixation of multifragmentary coronoid process fracture of the ulna: A case report |
title_sort | one incision-two windows approach for fixation of multifragmentary coronoid process fracture of the ulna: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9160398/ https://www.ncbi.nlm.nih.gov/pubmed/35665199 http://dx.doi.org/10.1016/j.tcr.2022.100655 |
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