Olecranon fractures

Question 1

Schatzker Classification

Answer 1

A = 2U1B1d, simple transverse
B = 2U1B1e[3a] transverse impacted
C = oblique
D = 2U1C3 comminuted
E = oblique distal
F = fracture dislocation

Question 2

Indication for figure of 8 wire banding

Answer 2

A and B

C with screw and then banding

Question 3

Indication for plating

Answer 3

D-E

Question 4

Radial head fracture dislocation

Answer 4

ORIF is enough to stabilize
No need for UL reco
Treat with functional bracing post-operatively

If no ORIF possible
Prosthesis (only 50% of normal stability)

Question 5

indication for conservative

Answer 5

undisplaced, enough periosteum to allow for extension

Question 6

Terrible triad TTT

Answer 6

Reconstruct Radial head if possible
For coronoid, depends on Regan Morrey (2U1B2):
- I (apical 1/3) : no fixation
- II (middle 1/3) : check intraop dislocation tendency (Kocher, if needed ulnar approach)
- III (basal 1/3): fixation needed

Question 7

Olecranon and Coronoideus fracture

Answer 7

Olecranon : plate

if possible, fixation of coronoid through the fracture

Question 8

Olecranon, Coronoideus and radial head fracture

Answer 8

either through posterior fracture or through Boyd (recline anconeus)

Question 9

Anterior transolecranon fracture-dislocation

Answer 9

Radial head usually intact

Question 10

Posterior transolecranon fracture dislocation

Answer 10

Radial head usually fractured

Question 11

Proximal Monteggia

Answer 11

actually not an elbow fracture dislocation but a radial head dslocation with olecranon fracture

Question 12

Regan Morrey AO

Answer 12

2U1B2
I o
II p
III q