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
Editorial
. 2023 Dec 26;15(5):325-327.
doi: 10.1055/s-0043-1777429. eCollection 2023 Dec.

Development of a Framework for Assessment and Management of Proximal Ulna Fracture Dislocations of the Elbow

Affiliations
Editorial

Development of a Framework for Assessment and Management of Proximal Ulna Fracture Dislocations of the Elbow

Joideep Phadnis et al. J Hand Microsurg. .
No abstract available

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
The coronoid, ulna, radial head, ligaments (CURL) framework. The four critical components of a proximal ulna fracture dislocation (coronoid, ulna, radial head, ligaments) can be subdivided into intact, simple, or complex based on the individual injury characteristics. Copyright: Joideep Phadnis.
Fig. 2
Fig. 2
A “simple” coronoid fracture typically includes the sublime tubercle. The medial collateral ligament is intact and note how the forearm has fallen away from the coronoid fragment that remains correctly articulated with the medial trochlea.
Fig. 3
Fig. 3
An example of a patient with a “complex” ligament injury. Note how on both the anteroposterior X-ray and the three-dimensional computed tomography reconstruction, the distal humerus is dislocated outside the greater sigmoid notch in addition to the proximal ulna fracture with no congruency with the coronoid.

References

    1. Giannicola G, Greco A, Sacchetti F M, Cinotti G, Nofroni I, Postacchini F. Complex fracture-dislocations of the proximal ulna and radius in adults: a comprehensive classification. J Shoulder Elbow Surg. 2011;20(08):1289–1299. - PubMed
    1. Science of Variation Group . Doornberg J N, Guitton T G, Ring D. Diagnosis of elbow fracture patterns on radiographs: interobserver reliability and diagnostic accuracy. Clin Orthop Relat Res. 2013;471(04):1373–1378. - PMC - PubMed
    1. Hamoodi Z, Singh J, Elvey M H, Watts A C. Reliability and validity of the Wrightington classification of elbow fracture-dislocation. Bone Joint J. 2020;102-B(08):1041–1047. - PubMed
    1. Jupiter J B, Leibovic S J, Ribbans W, Wilk R M. The posterior Monteggia lesion. J Orthop Trauma. 1991;5(04):395–402. - PubMed
    1. Barlow J D, Nieboer M J, Cancio-Bello A M et al.A coronoid-centric classification system of proximal trans-ulnar fracture-dislocations has almost perfect intraobserver and interobserver agreement. J Shoulder Elbow Surg. 2023;32(12):2561–2566. - PubMed

Publication types

LinkOut - more resources