Medial elbow approaches for coronoid fractures: risk to the ulnar nerve

There was no statistical difference in the incidence of postoperative ulnar nerve complications with ulnar nerve transposition or in situ release following coronoid fixation. However, transposing the nerve resulted in a higher rate of neuropathy resolution. While the incidence of postoperative ulnar nerve dysfunction is high following coronoid fixation when using a medial surgical approach, it was similar with the FCU, T&S, and flexor pronator split approaches. Larger cohorts and randomized clinical trials are needed to confirm these findings.

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Publication Details

Journal
JSES International
Published
2024-09-17
DOI
https://doi.org/10.1016/j.jseint.2024.09.001
Citations
2
Primary Topic
Elbow and Forearm Trauma Treatment
Type
article
Field-Weighted Citation Impact
0.50
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article

Medial elbow approaches for coronoid fractures: risk to the ulnar nerve

Olawale A. Sogbein, S. Rupasinghe, Armin Badre, Y. Li et al.
2 citations
JSES International
Elbow and Forearm Trauma Treatment
0.50
article

Medial elbow approaches for coronoid fractures: risk to the ulnar nerve

Olawale A. Sogbein, S. Rupasinghe, Armin Badre, Y. Li, Thomas J. Goetz, Graham J.W. King, Yousif Atwan
article en
2 citations

Abstract

There was no statistical difference in the incidence of postoperative ulnar nerve complications with ulnar nerve transposition or in situ release following coronoid fixation. However, transposing the nerve resulted in a higher rate of neuropathy resolution. While the incidence of postoperative ulnar nerve dysfunction is high following coronoid fixation when using a medial surgical approach, it was similar with the FCU, T&S, and flexor pronator split approaches. Larger cohorts and randomized clinical trials are needed to confirm these findings.

JSES InternationalVol. 9(1)
Western University (CA), University of British Columbia (CA), University of Alberta (CA), Sturgeon Community Hospital (CA), Hand and Upper Limb Clinic (CA)
Openalex Percentile: Top 30%
Elbow and Forearm Trauma Treatment
0.50
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