{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:04Z","timestamp":1787755444138,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 60-year-old woman sustained a type IV capitellum fracture from falling on an outstretched arm. Open reduction internal fixation (ORIF) was performed using an anconeus approach, and a transolecranon tunnel was created to place a trochlear screw. The patient showed good clinical outcomes with almost full range of motion at 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>With type IV capitellum fractures, the olecranon often obstructs the screw trajectory necessary for anterior-to-posterior fixation of trochlear fragments. Drilling a transolecranon tunnel through the proximal olecranon with the elbow flexed creates a viable pathway for screw placement from a more medial starting point than what is possible with traditional techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00144","type":"journal-article","created":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T14:01:56Z","timestamp":1685109716000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Open Reduction and Internal Fixation of a Type IV Capitellum Fracture Through a Transolecranon Tunnel"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0526-774X","authenticated-orcid":false,"given":"David J.","family":"Ulery","sequence":"first","affiliation":[{"name":"Mercy Health St Vincent Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3404-9358","authenticated-orcid":false,"given":"Samuel D.","family":"Stegelmann","sequence":"additional","affiliation":[{"name":"Mercy Health St Vincent Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4050-0099","authenticated-orcid":false,"given":"Seth A.","family":"Phillips","sequence":"additional","affiliation":[{"name":"Mercy Health St Vincent Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,4]]},"reference":[{"issue":"10","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1097\/01.bot.0000246411.33047.80","article-title":"Technique for internal fixation of capitellum and lateral trochlea fractures","volume":"20","author":"Mighell","year":"2006","journal-title":"J Orthop Trauma."},{"issue":"1","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"49","DOI":"10.2106\/00004623-199601000-00007","article-title":"Coronal shear fractures of the distal end of the humerus","volume":"78","author":"McKee","year":"1996","journal-title":"J Bone Joint Surg Am."},{"issue":"Suppl 2 Part 1","key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"38","DOI":"10.2106\/JBJS.H.01195","article-title":"Open reduction and internal fixation of capitellar fractures with headless screws. 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