{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:59:34Z","timestamp":1790189974565,"version":"4.1.0"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"University of Luzern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe a\u00a0medial epicondyle osteotomy technique to approach the coronoid from the medial side and to present the outcome of our patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Indications<\/jats:title>\n                    <jats:p>Displaced coronoid fractures (particularly O\u2019Driscoll anteromedial subtypes 1\u20133 and basal subtypes\u00a01 and\u00a02 fractures).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contraindications<\/jats:title>\n                    <jats:p>Infected or compromised skin on the medial elbow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Surgical technique<\/jats:title>\n                    <jats:p>A\u00a0curvilinear incision centered over the anterior aspect of the medial epicondyle is performed. The ulnar nerve is released. The medial epicondyle is osteotomized in a\u00a0trajectory that parallels both the medial trochlea and the fibers of the flexor\u2013pronator mass, from posterior to anterior. This is performed with a\u00a0sagittal saw and completed with an osteotome. The flexor pronator mass and medial ulnar collateral ligament (MUCL) are reflected distally and the anterior capsule is elevated to expose the articular surface of the ulnohumeral joint. The coronoid fracture is anatomically reduced and fixed with either (headless) compression screws or a\u00a0(anatomic) buttress plate, depending on the fracture configuration. The medial epicondyle is reduced and fixed in place with two diverging cortical screws (2.7 or\u00a03.5\u202fmm). A\u00a0stable construct should be achieved to allow for early mobilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Postoperative management<\/jats:title>\n                    <jats:p>Free range of motion exercises can be initiated immediately. At 6\u00a0weeks, strength exercises can be initiated. At 12\u00a0weeks, the patient may return to activities as tolerated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In all, 13\u00a0patients (7\u00a0men and 6\u00a0women; ages\u00a020\u201362\u00a0years old) underwent fixation of their complex coronoid fractures through a\u00a0medial epicondyle osteotomy. Average elbow flexion\u2013extension arc of motion was 118\u00b0 and average pronation\u2013supination arc of motion was 154\u00b0. One complication was reported in a\u00a0patient who required revision fixation of the medial epicondyle osteotomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00064-026-00953-w","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T10:51:44Z","timestamp":1789123904000},"page":"274-289","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Medial elbow approach via a\u00a0medial epicondyle osteotomy","Medialer Ellenbogenzugang \u00fcber eine Osteotomie am medialen Epikondylus"],"prefix":"10.1007","volume":"38","author":[{"given":"John M.","family":"Ibrahim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan J. M.","family":"van de Wall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Michelitsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Korbinian","family":"Perl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reto","family":"Babst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank J. P.","family":"Beeres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"953_CR1","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1016\/j.jse.2020.06.031","volume":"30","author":"AL Huang","year":"2021","unstructured":"Huang\u00a0AL, Hackl\u00a0M, Chan\u00a0AHW et\u00a0al (2021) Medial elbow exposure: an anatomic comparison of 5 approaches. J\u00a0Shoulder Elbow Surg 30:512\u2013519","journal-title":"J Shoulder Elbow Surg"},{"issue":"2","key":"953_CR2","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1097\/00013611-200015020-00003","volume":"15","author":"RN Hotchkiss","year":"2000","unstructured":"Hotchkiss\u00a0RN, Kasparyan\u00a0GN (2000) The medial \u201cover the top\u201d approach to the elbow. 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J\u00a0Trauma Acute Care Surg 9:594\u2013594","journal-title":"J Trauma Acute Care Surg"},{"issue":"2","key":"953_CR5","doi-asserted-by":"publisher","first-page":"267","DOI":"10.2106\/JBJS.G.00059","volume":"89","author":"D Ring","year":"2007","unstructured":"Ring\u00a0D, Doornberg\u00a0JN (2007) Fracture of the anteromedial facet of the coronoid process: surgical technique. JBJS 89(2):267","journal-title":"JBJS"},{"key":"953_CR6","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1007\/s00064-022-00783-6","volume":"34","author":"MM Schneider","year":"2022","unstructured":"Schneider\u00a0MM, Zimmermann\u00a0F, Hollinger\u00a0B et\u00a0al (2022) Coronoidaufbau mittels Beckenkammspan \u00fcber einen medialen Zugang zur Therapie von chronischen Coronoiddefekten mit posteromedialer Rotationsinstabilit\u00e4t. Oper Orthop Traumatol 34:419\u2013430","journal-title":"Oper Orthop Traumatol"},{"issue":"3","key":"953_CR7","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/s00276-013-1168-3","volume":"36","author":"K Otoshi","year":"2014","unstructured":"Otoshi\u00a0K, Kikuchi\u00a0Sichi, Shishido\u00a0H, Konno\u00a0Sichi (2014) The proximal origins of the flexor\u2013pronator muscles and their role in the dynamic stabilization of the elbow joint: an anatomical study. Surg Radiol Anat 36(3):289\u2013294","journal-title":"Surg Radiol Anat"},{"key":"953_CR8","doi-asserted-by":"crossref","unstructured":"Morrey BF, An KN. Functional anatomy of the ligaments of the elbow. Clin Orthop Relat Res. 1985;(201):84\u201390.","DOI":"10.1097\/00003086-198512000-00015"}],"container-title":["Operative Orthop\u00e4die und Traumatologie"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00064-026-00953-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00064-026-00953-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00064-026-00953-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:02:34Z","timestamp":1790186554000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00064-026-00953-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,11]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["953"],"URL":"https:\/\/doi.org\/10.1007\/s00064-026-00953-w","relation":{},"ISSN":["0934-6694","1439-0981"],"issn-type":[{"value":"0934-6694","type":"print"},{"value":"1439-0981","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,11]]},"assertion":[{"value":"28 July 2026","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 September 2026","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"J.M.\u00a0Ibrahim, B.J.\u00a0M.\u00a0van de Wall, C.\u00a0Michelitsch, K.\u00a0Perl, R.\u00a0Babst and F.J.\u00a0P.\u00a0Beeres declare that they have no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures and study protocols mentioned were in accordance with the ethical standards indicated in each case. No human or animal studies were performed by any of the authors of this article. All patients provided informed general consent to use their blinded data for study purposes.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}}]}}