Universität zu Köln

Lanzerath, Fabian ORCID: 0000-0002-4780-6875, Hackl, Michael ORCID: 0000-0002-6183-5621, Wegmann, Kilian, Mueller, Lars P. and Leschinger, Tim (2021). The treatment of anteromedial coronoid facet fractures: a systematic review. J. Shoulder Elbow Surg., 30 (4). S. 942 - 949. NEW YORK: MOSBY-ELSEVIER. ISSN 1532-6500

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Abstract

Background: Fractures of the anteromedial facet (AMF) of the coronoid process are caused by a varus posteromedial rotational injury force, leading to instability in the ulnohumeral joint. AMF fractures are usually accompanied by avulsion of the lateral ulnar collateral ligament (LUCL). O'Driscoll's description and classification of AMF coronoid fractures has increased awareness and interest in this injury, but the optimal treatment has yet to be decided. Methods: We systematically reviewed the available literature searching electronic databases, MEDLINE using the PubMed interface and Embase. The primary objective was to determine outcome scores but also complication and revision rates depending on the fracture and its therapy in order to gain a more comprehensive picture. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were applied. Results: Initially, 304 publications were identified. Finally, 10 studies were left for inclusion, all of them retrospective in design, comprising 128 patients; the majority of them were male (75.7%). A total of 114 patients (89.1%) were treated surgically and 14 patients (10.9%) were treated conservatively. Among the surgically treated patients, 70.2% were treated with LUCL refixation. The average Mayo Elbow Performance Score of the surgically treated patients was 91.5 points. The average Mayo Elbow Performance Score of the conservatively treated patients was 91.4 points. A total of 10 patients (7.8%) required reoperation. Conclusion: Surgery of AMF fractures leads to a satisfactory functional outcome in the vast majority of patients independent of the subtype. An algorithm for LUCL fixation is still pending. Conservative treatment may be considered under strict preconditions, especially for nondisplaced subtype 1 and 2 fractures, as these fractures show satisfactory functional outcomes when treated nonoperatively. (C) 2020 The Author(s).

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lanzerath, Fabian UNSPECIFIED orcid.org/0000-0002-4780-6875 UNSPECIFIED Hackl, Michael UNSPECIFIED orcid.org/0000-0002-6183-5621 UNSPECIFIED Wegmann, Kilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Leschinger, Tim UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-564054
DOI:	10.1016/j.jse.2020.09.008
Journal or Publication Title:	J. Shoulder Elbow Surg.
Volume:	30
Number:	4
Page Range:	S. 942 - 949
Date:	2021
Publisher:	MOSBY-ELSEVIER
Place of Publication:	NEW YORK
ISSN:	1532-6500
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Orthopedics; Sport Sciences; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56405