International Journal of Clinical Research
International Journal of Clinical Research. 2026; 10: (9) ; 10.12208/j.ijcr.20260440 .
总浏览量: 24
1济宁医学院临床医学院 山东济宁
2济宁医学院附属医院创伤骨科 山东济宁
*通讯作者： 姜振,单位：济宁医学院附属医院创伤骨科 山东济宁; ；
尺骨冠突（coronoid process）是肘关节前方稳定的关键骨性结构，其在维持肱尺关节对合、抵抗后向及内翻应力中发挥核心作用。尺骨冠突骨折是肘关节损伤中较为复杂且预后差异较大的一类骨折，其特殊的解剖结构与肘关节稳定性密切相关，常合并肘关节脱位、桡骨头骨折等严重损伤。近年来，随着对冠突解剖与生物力学认识的深化、影像学技术的进步以及手术入路与固定技术的革新，该领域取得了显著进展。然而，异位骨化、创伤性关节炎等并发症的发生率仍居高不下，治疗策略中亦存在诸多争议。本文从解剖生物力学、损伤机制与分型、影像学诊断、治疗策略、并发症、预后康复及研究前沿七个方面，对尺骨冠突骨折的诊疗进展进行系统综述。
The coronoid process of the ulna is a critical bony structure for anterior stability of the elbow joint, playing a central role in maintaining humeroulnar joint congruity and resisting posterior and varus stresses. Coronoid process fractures represent a relatively complex category of elbow injuries with considerable variability in prognosis. Their unique anatomical structure is intimately related to elbow stability, and they are frequently associated with severe injuries such as elbow dislocation and radial head fracture. In recent years, significant advances have been achieved in this field with deepening understanding of coronoid anatomy and biomechanics, advancements in imaging technology, and innovations in surgical approaches and fixation techniques. However, the incidence of complications such as heterotopic ossification and post-traumatic arthritis remains high, and numerous controversies persist regarding treatment strategies. This article presents a systematic review of the diagnostic and therapeutic progress in coronoid process fractures from seven perspectives: anatomical biomechanics, injury mechanisms and classification, imaging diagnosis, treatment strategies, complications, prognosis and rehabilitation, and research frontiers.
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