Coronoid process fracture

Fractures of the coronoid process of the ulna are uncommon and often occur in association with elbow dislocation. 

Mechanism

Fracture of the coronoid process is thought to result from elbow hyperextension with either avulsion of the brachialis tendon insertion, or shearing off by the trochlea 1.

Classification

Coronoid process fractures have been classified into three types 1:

  • type 1: avulsion of the tip of the coronoid process
  • type 2: fragment involving <50% of the coronoid process
  • type 3: fragment involving >50% of the coronoid process

The prognostic relevance of this classification is contentious, but there is some correlation with the pattern of associated injuries: smaller fractures are more likely to be associated with the “terrible triad” pattern of injury, whereas larger fragments tend to occur with anterior and posterior fracture-dislocations of the olecranon 2.

Coronoid process fractures may be diagnosed on a plain film series of the elbow, generally on a lateral or a 45° oblique view 4. A CT may be necessary for fracture characterisation in the setting of a complex fracture-dislocation.

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Article information

rID: 12875
Tags: elbow, cases
Synonyms or Alternate Spellings:

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Cases and figures

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    Case 1: with "terrible triad"
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    Case 2: with posterior elbow dislocation
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     Case 3
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