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sigmoid of the ulna, resulting in a fracture of the olecranon with various degrees of extension into the coronoid or the proximal ulnar shaft ( Fig. 4 ). Fig. 4 Lateral radiograph after a trans-olecranon fracture-dislocation. The radius may
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peripheral cartilage, interfaces with the convex surface of the humeral capitellum. Additionally, the lateral aspect and rim of the radial head articulate with the proximal ulna within the lesser sigmoid notch and with the lateral portion of the trochlea
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. The epidemiology of fractures of the proximal ulna . Injury 2012 ; 43 : 343 – 346 . 2. Brolin TJ Throckmorton T . Olecranon fractures . Hand Clin 2015 ; 31 : 581 – 590 . 3. Gallucci GL Piuzzi
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system being used. One major difference between these two procedures is that extensive proximal ulna visualisation needed for TEA is not required with elbow HA, making triceps-on approaches more attractive if the distal humerus fracture allows. These
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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lateral epicondyle using Kocher’s interval between the anconeus and the extensor carpi ulnaris (ECU) ( Fig. 10 ). The supinator crest on the ulna is palpated and followed proximally. A small tubercle can often be palpated on the most proximal part of the
Department of Orthopedic Surgery, St. Antonius Hospital, Utrecht, The Netherlands
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Department of Orthopedic Surgery, Amsterdam UMC, Amsterdam, The Netherlands
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although this could potentially lead to proximal radioulnar impingement (rubbing of the proximal radial stump against the proximal ulna) under loaded rotational activities. Fig. 2 This patient had been treated with a radiocapitellar arthroplasty for
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distal humerus fractures does occur between 8% and 25% of the time. Thus, compared to other humerus fracture locations – less than 4% for proximal and less than 2% for diaphyseal fractures, 5 – 6 nonunion after surgical management is more frequent in
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, valgus instability may also occur after traumatic dislocations with fracture. Overall, however, injury to the medial ulnar collateral ligament (MUCL) has become increasingly common. 1 Waris 2 first described injuries to the MUCL of the elbow in
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interferes with joint movement was approximately 20% according to a study by Foruria et al 9 on fracture dislocations involving the proximal radius and ulna. Capsular contractures have been shown to develop due to a markedly increased number of
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University Hospital Antwerp, Department of Orthopedic Surgery, Edegem, Belgium
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the proximal radius, the risk of fracture through the surgically created bone tunnel for distal biceps tendon repair could be a potential problem. Table 4. Biomechanical evaluation of fixation methods for distal biceps tendon repair
