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An ulna fracture is a break in the ulna bone, one of the two bones in the forearm. [2] It is often associated with a fracture of the other forearm bone, the radius. [1] [3]An ulna fracture can be a single break as in a so called nightstick fracture, which can be caused by someone being hit on the inside of the forearm often by a stick, notably when they are holding their arm up to protect ...
Galeazzi fracture after surgical fixation. Galeazzi fractures are best treated with open reduction of the radius and the distal radio-ulnar joint. [3] It has been called the "fracture of necessity," because it necessitates open surgical treatment in the adult. [4] Nonsurgical treatment results in persistent or recurrent dislocations of the ...
A Colles' fracture is a type of fracture of the distal forearm in which the broken end of the radius is bent backwards. [2] Symptoms may include pain, swelling, deformity, and bruising. [2] Complications may include damage to the median nerve. [1] It typically occurs as a result of a fall on an outstretched hand. [2] Risk factors include ...
Distal radius fractures typically occur with the wrist bent back from 60 to 90 degrees. [5] Radial styloid fracture would occur if the wrist is ulnar deviated and vice versa. If the wrist is bent back less, then proximal forearm fracture would occur, but if the bending back is more, then the carpal bones fracture would occur.
Delayed treatment of the radial head fracture will also lead to proximal migration of the radius. [3] The distal radio-ulnar joint dislocation can be reduced by supination of the forearm, and may be pinned in place for 6 weeks to allow healing of the interosseous membrane. [1]
The shifted bone segment is relocated, in necessary a bone autograft can be used to fill up the fracture. At the end the fracture is stabilized using percutane wires. Arthroscopy has good results as treatment for distal radius fracture, with over 85% of the patiënts showing good to excellent postoperative results. [10]
Fractures of the styloid process of the ulna seldom require treatment when they occur in association with a distal radius fracture. The major exception is when the joint between these bones, the distal radioulnar joint (or DRUJ), is unstable. When the DRUJ is unstable, the ulnar styloid may require independent treatment.
The ulna fractures in the proximal one-third of the shaft due to extreme dislocation. Depending on the impact and forces applied in each direction, degree of energy absorption determines pattern, involvement of the radial head and whether or not open soft tissue occurs. Direct blow on back of upper forearm would be a very uncommon cause.