Transolecranon anterior fracture dislocation

E. Mouhsine, A. Akiki, A. Castagna, A. Cikes, M. Wettstein, O. Borens, R. Garofalo

Research output: Contribution to journalArticle

Abstract

Between January 1996 and July 2003, 93 consecutive patients operated on with a diagnosis of olecranon fractures were identified from our trauma unit files. Fourteen transolecranon fracture-dislocations were found after a retrospective X-radiographic evaluation. Eight patients were women and six were men, with a mean age of 54 years. There were 4 noncomminuted olecranon fractures, treated with K-wires and single tension-band wiring. The remaining 10 fractures were complex fractures, treated in 3 cases with multiple K-wires and single tension-band wiring, in 2 by use of one-third tubular plates, in 1 with a 3.5-mm dynamic compression plate, and in the remaining 4 with 3.5-mm reconstruction plates. Ligament repair was not performed in any case. Three patients needed reoperation because of early failure of primary fixation. Patients were reviewed at a mean follow-up of 3.6 years. Two reported difficulties in daily activities, none with any symptoms of elbow instability. According to the Broberg and Morrey score, 4 patients had excellent results, 6 had good results, 2 had fair results, and 2 had poor results. Four patients showed signs of degenerative arthritis on the radiographs obtained at follow-up. We conclude that transolecranon fracture-dislocation is an underreported and misdiagnosed injury. Various fixation techniques can restore the anatomic relationships and contour of the trochlear notch; the imperative goal is to obtain a good stable primary fixation and allow early active mobilization.

Original languageEnglish
Pages (from-to)352-357
Number of pages6
JournalJournal of Shoulder and Elbow Surgery
Volume16
Issue number3
DOIs
Publication statusPublished - May 2007

Fingerprint

Olecranon Process
Ulna
Early Ambulation
Trauma Centers
Elbow
Diagnostic Errors
Reoperation
Ligaments
Osteoarthritis
Fracture Dislocation
Wounds and Injuries

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Mouhsine, E., Akiki, A., Castagna, A., Cikes, A., Wettstein, M., Borens, O., & Garofalo, R. (2007). Transolecranon anterior fracture dislocation. Journal of Shoulder and Elbow Surgery, 16(3), 352-357. https://doi.org/10.1016/j.jse.2006.07.005

Transolecranon anterior fracture dislocation. / Mouhsine, E.; Akiki, A.; Castagna, A.; Cikes, A.; Wettstein, M.; Borens, O.; Garofalo, R.

In: Journal of Shoulder and Elbow Surgery, Vol. 16, No. 3, 05.2007, p. 352-357.

Research output: Contribution to journalArticle

Mouhsine, E, Akiki, A, Castagna, A, Cikes, A, Wettstein, M, Borens, O & Garofalo, R 2007, 'Transolecranon anterior fracture dislocation', Journal of Shoulder and Elbow Surgery, vol. 16, no. 3, pp. 352-357. https://doi.org/10.1016/j.jse.2006.07.005
Mouhsine, E. ; Akiki, A. ; Castagna, A. ; Cikes, A. ; Wettstein, M. ; Borens, O. ; Garofalo, R. / Transolecranon anterior fracture dislocation. In: Journal of Shoulder and Elbow Surgery. 2007 ; Vol. 16, No. 3. pp. 352-357.
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