Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Aug 1;36(Suppl 3):S7-S8.
doi: 10.1097/BOT.0000000000002385.

Operative Fixation of the Anteromedial Facet of the Coronoid Process

Matthew T Kingery  1 , Dylan T Lowe, Kenneth A Egol
Affiliations

Operative Fixation of the Anteromedial Facet of the Coronoid Process

Matthew T Kingery et al. J Orthop Trauma. .

Abstract

Anteromedial coronoid facet fractures typically occur with varus, pronation, and axial forces applied to the elbow. Due in part to the high rate of concomitant lateral collateral ligament (LCL) injuries, untreated anteromedial facet fractures can result in varus and posteromedial rotatory elbow instability. Although small fractures that are not amenable to open reduction and internal fixation can be treated with isolated LCL repair, larger fragments are treated with buttress plating on the anteromedial surface of the coronoid with or without LCL repair. The "over-the-top" approach via a split in the flexor pronator mass is the preferred method of accessing the anteromedial facet. Although data regarding the functional outcomes after operative fixation of the anteromedial facet are limited, observational studies have demonstrated good restoration of elbow stability and motion.

PubMed Disclaimer

Conflict of interest statement

K. A. Egol: Acumed, LLC: Research support; Exactech, Inc: IP royalties; paid consultant Orthopaedic Trauma Association: Board or committee member; Polypid: Unpaid consultant; SLACK Incorporated: Publishing royalties, financial or material support; Smith & Nephew: Paid presenter or speaker; Synthes: Research support; Wolters Kluwer Health—Lippincott Williams & Wilkins: Publishing royalties, financial or material support. The remaining authors report no conflict of interest.

References

    1. Pollock JW, Brownhill J, Ferreira L, et al. The effect of anteromedial facet fractures of the coronoid and lateral collateral ligament injury on elbow stability and kinematics. J Bone Joint Surg Am. 2009;91:1448–1458.
    1. Park SM, Lee JS, Jung JY, et al. How should anteromedial coronoid facet fracture be managed? A surgical strategy based on O'Driscoll classification and ligament injury. J Shoulder Elbow Surg. 2015;24:74–82.
    1. Hotchkiss RN, Kasparyan GN. The medial “over the top” approach to the elbow. Tech Orthop. 2000;15:105–112.
    1. Ring D, Doornberg JN. Fracture of the anteromedial facet of the coronoid process. J Bone Joint Surg. 2007;89(. 2):267–283.
    1. Doornberg JN, Ring DC. Fracture of the anteromedial facet of the coronoid process. J Bone Joint Surg Am. 2006;88:2216–2224.

LinkOut - more resources