Coronoid Fracture ORIF

Coronoid fracture xray

proximal ulna anatomy


Elbow Cross Sectional Anatomy

Type I Coronoid Fracture

Type II Coronoid Fracture

Type III Coronoid Fracture

Anteromedial Facet Coronoid Fracture

Posteromedial approach to the elbow

Type III coronoid fracture orif 

CPT Coding Technique
Indications Complications
Contraindications Follow-up Care / Rehab Protocol
Alternatives Outcomes
Pre-op Planning / Case Card Review References

synonyms:coronoid fracture ORIF, coronoid process fracture ORIF

 Coronoid Fracture ORIF CPT

Coronoid Fracture ORIF Indications

  • Displaced coronoid process fracture

 Coronoid Fracture ORIF Contraindications

  •  Medically unstalbe
  • Active infection

Coronoid Fracture ORIF Alternatives

  • Closed treatment.

Coronoid Fracture ORIF Pre-op Planning

  • Ensure appropriate plate and screws are available.

Coronoid Fracture ORIF Technique

  • If associated with radial head fracture can ofter repair using suture lasso technique throught the radial head lateral incision approach. 
  • Standard posterior medial approach.  Elevate thick flaps.
  • Identify ulnar nerve proximal and release from cubitual tunnel, fascia,
  • Divide flexor pronator fascia and preserve any motor brances of ulnar nerve and preserve. 
  • Elevate flexor pronator muscle mass off the capsule and collateral ligament complex.
  • Remove intraarticular debrie
  • Place sutures into anterior capsule and drill holes in ulnar for later repair through bone tunnels. 
  • Reduced corocoid fracture and secure with screws/plate
  • Repair capsule and ensure function of UCL.  
  • Repair flexor pronator mass with suture anchor in medial epicondyle
  • Consider transposing ulnar nerve with fascial sling. 

Coronoid Fracture ORIF Complications

Coronoid Fracture ORIF Follow-up care

  • Post-op: Posterior splint, NWB
  • 7-10 Days: Wound check.  Place in hinged brace.  May begin gentle ROM exercises depending on fracture stability, associated injuries.  
  • 6 Weeks:  review xrays.  PT progress with ROM.
  • 3 Months: Review xrays.  Gradually resume normal activities.  
  • 6 Months:  Evaluate motion and xrays. 
  • 1Yr:

Coronoid Fracture ORIF Outcomes

Coronoid Fracture ORIF Review References