Arthroscopic-assisted Fixation of a Nonunited Coronoid Stress Fracture in a Competitive Gymnast: A Case Report.

ABSTRACT

CASE Gymnasts may suffer elbow injuries due to repetitive loading. However, coronoid stress fractures remain uncommon. We report a case of a high-level female competitive gymnast with a nondisplaced coronoid stress fracture that failed to heal with conservative management. Arthroscopic-assisted in situ fixation of the coronoid nonunion was performed, and the gymnast returned to competition after the fracture healed. CONCLUSION: Coronoid stress fractures should be considered in gymnasts presenting with chronic elbow pain. If nonoperative treatment is unsuccessful, arthroscopic fixation can be successful in stimulating healing of the nonunion without the morbidity of an open approach or bone grafting.