Orthopedics
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This article illustrates the posteromedial elbow approach to address both coronoid and olecranon ulnar fractures. Olecranon and coronoid fractures were simulated in 6 cadaveric elbows. The osteotomies were made with a percutaneously placed osteotome through the olecranon fossa and the elbow joint. ⋯ This technique allowed supine positioning of the cadaver and the use of an arm table for radiographic imaging in the lateral and anteroposterior planes. The direct visualization of both the coronoid and olecranon fracture facilitated anatomic reduction using standard surgical techniques. This technique also preserved the pronator attachment to the humerus, transposed the ulna nerve, and reapproximated the flexor carpi ulnaris fascia.
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While patient-controlled analgesia and intermittent intravenous opioids are primarily used for pain control, transdermal drug delivery is a possible adjuvant treatment.