Abstract
A 58-year-old woman suffered a coronal shear fracture at the distal end of the humerus. Olecranon osteotomy was used for repair. The fracture surfaces were freshened, and the fragment was fixed to the humerus with two screws, which were seated below the articular surface. At 2 weeks, gentle active motion was allowed to minimize any adhesion formation. The duration of follow-up at the most recent physical examination was 20 months. The range of elbow motion was from -5 to 140 degrees, and the patient had no pain. She obtained union of the fracture and a good functional result, with a JOA score of 96. She was pleased with the surgical result. Olecranon osteotomy is useful for treatment of coronal shear fracture at the distal end of the humerus.
