To see the other types of publications on this topic, follow the link: Radius-ulna fracture.
Journal articles on the topic 'Radius-ulna fracture'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Radius-ulna fracture.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Lutsky, Kevin F., Ludovico Lucenti, and Pedro K. Beredjiklian. "Outcomes of Distal Ulna Fractures Associated With Operatively Treated Distal Radius Fractures." HAND 15, no. 3 (2018): 418–21. http://dx.doi.org/10.1177/1558944718812134.
Full textAbstract:
Background: The purpose of this study was to report outcomes in patients with nonstyloid distal ulna fractures treated in conjunction with open reduction internal fixation (ORIF) of distal radius fractures. Methods: A retrospective review of all patients who had undergone ORIF of a distal radius fracture over a 5-year period at a single institution was performed. Radiographic review was performed to identify patients with a concomitant fracture of the distal ulna. Radiographs were examined to determine whether and how the distal ulna fracture was stabilized and to assess healing of the distal ulna. Range of motion (ROM) was determined by review of the patients’ charts. All skeletally mature patients with distal ulna fractures (not including isolated styloid fractures) undergoing surgical fixation of the distal radius fracture were included. Patients were excluded if follow-up was inadequate. There were 172 fractures of the distal ulna meeting the inclusion criteria. Seven patients were excluded. There were 91 patients treated without ulna fixation (ulna-no) and 74 patients treated with ulna fixation (ulna-yes). Results: Seventy-two (97%) of the ulna-yes patients healed. All patients in the ulna-no group healed. The only significant difference in ROM was in pronation, although the magnitude of this difference was relatively small. Conclusions: Fractures of the distal ulna have high rates of healing and result in equivalent motion regardless of whether the distal ulna is treated operatively. Routine surgical fixation of concomitant distal ulna fractures during distal radius ORIF does not appear to be necessary.
2
Milovancev, Milan, and S. Christopher Ralphs. "Radius/ulna fracture repair." Clinical Techniques in Small Animal Practice 19, no. 3 (2004): 128–33. http://dx.doi.org/10.1053/j.ctsap.2004.09.005.
Full text
3
Konstantelos, Natalia, Andrea M. Burden, Angela M. Cheung, Sandra Kim, Paul Grootendorst, and Suzanne M. Cadarette. "Comparison of Fracture Identification Using Different Definitions in Healthcare Administrative (Claims) Data." Pharmacy 11, no. 2 (2023): 53. http://dx.doi.org/10.3390/pharmacy11020053.
Full textAbstract:
We identified inconsistency in fracture definitions in a prior review of studies that utilized claims data. Here, we aimed to compare fracture rates estimated using thirteen hip and seven radius/ulna fracture definitions. Our primary analysis compared results in a cohort of 120,363 older adults treated with oral bisphosphonates for ≥3 years. The most inclusive definition (hip: inpatient or emergency diagnosis; radius/ulna: inpatient, emergency, or outpatient diagnosis) served as a referent to compare the number and proportion of fractures captured. In sensitivity analyses, we considered a 180-day washout, excluded fractures associated with trauma; and hip only, excluded: (1) subtrochanteric fractures, and (2) hip replacement procedures. Hip fractures varied by definition in number (52–8058) and incidence (0.7–111.8/10,000 person-years). The second most inclusive definition required one inpatient diagnosis and identified 8% fewer hip fractures than the referent. Excluding hip replacements missed 33% of hip fractures relative to the primary analysis. Radius/ulna fractures also ranged in number (1589–6797) and incidence (22.0–94.3/10,000 person-years). Outpatient data were important, when restricted to inpatient or emergency data, only 78% of radius/ulna fractures were identified. Other than hip replacement procedures, sensitivity analyses had minimal impact on fracture identification. Analyses were replicated in a cohort of patients treated with long-term glucocorticoids. This study highlights the importance and impact of coding decisions on fracture outcome definitions. Further research is warranted to inform best practice in fracture outcome identification.
4
Kim, Jae Kwang, Jong-Oh Kim, and Yong-Do Koh. "Management of Distal Ulnar Fracture Combined with Distal Radius Fracture." Journal of Hand Surgery (Asian-Pacific Volume) 21, no. 02 (2016): 155–60. http://dx.doi.org/10.1142/s2424835516400075.
Full textAbstract:
The distal ulna is composed of the ulnar styloid, ulnar head, and distal ulnar metaphyseal area. Most of distal ulnar metaphyseal fractures are associated with distal radius fractures and this incidence tends to be greater in osteoporotic elderly. Consideration of the treatment of distal ulna metaphyseal fracture should be addressed after treating a distal radius fracture. If it is stable, cast immobilization is preferred, however, if it shows malalignment or instability, an operative method should be considered. More than half of distal radius fractures are combined with an ulnar styloid fracture, and considerable cases of ulnar styloid fractures result in nonunion. However, ulnar styloid nonunion usually does not cause any problems on the wrist. Recent studies of distal radius fractures treated using a volar locking plate have reported that neither the initial displacement nor the size of a concomitant ulnar styloid fracture affects clinical outcome, which suggests surgical approaches may usually not be indicated for ulnar styloid fractures.
5
BIYANI, A., A. J. M. SIMISON, and L. KLENERMAN. "Fractures of the Distal Radius and Ulna." Journal of Hand Surgery 20, no. 3 (1995): 357–64. http://dx.doi.org/10.1016/s0266-7681(05)80094-4.
Full textAbstract:
Associated fractures of the distal ulnar metaphysis were present in 19 of 320 distal radial fractures requiring either closed manipulation or surgical treatment over a 2-year period. Four morphological patterns of ulnar fracture were encountered, the commonest being the type 1 simple extra-articular fracture of the distal end of ulna with minimal comminution (eight out of 19). 15 patients were treated conservatively and two each were treated by internal and external fixation. 15 patients were reviewed after a mean follow-up of 23.8 months and there were four excellent, five good, five fair clinical results and one poor result. Radiographically the distal radio-ulnar joint (DRUJ) was normal in eight wrists, but longitudinal or horizontal disruption of the DRUJ was present in seven wrists. Fracture callus encroached on the DRUJ in three patients, who also had limitation of forearm rotation. Two comminuted ulnar fractures (type 4) developed non-union, but both patients had full forearm rotation, in contrast to restriction of forearm rotation in four out of five patients with type 1 fractures.
6
Malak, Anthony, and Andrew S. Levien. "Application of Double-Threaded Locking Adaptation Plates used to Repair a Radius and Ulna Fracture in a Domestic Rabbit (Oryctolagus Cuniculus)." VCOT Open 03, no. 02 (2020): e182-e186. http://dx.doi.org/10.1055/s-0040-1721662.
Full textAbstract:
Abstract Objective This study is a case description of the clinical application of locking plates to repair fractures in the radius and ulna of a 9-month-old, male domestic rabbit. Study Design This study is a case report. Results Double-threaded locking adaptation plates of 1.5 mm were fixated to the radius and ulna of the rabbit using the principles of orthogonal plating. Radiographs of the left radius and ulna were obtained at 8 weeks postoperatively depicting complete osseous union of the fracture and no implant complications were observed. Clinical Significance The authors describe the first clinical report of 1.5 mm locking adaptation plates having been used in repairing radius and ulna fractures in a domestic rabbit.
7
Nithin, Gangadharan. "Patterns of Radius-Ulna Fractures at Tertiary Care Center Among Pediatric Patients." International Journal of Pharmaceutical and Clinical Research 14, no. 9 (2022): 1189–93. https://doi.org/10.5281/zenodo.13344942.
Full textAbstract:
<strong>Background:</strong> The pediatric radius-ulna fractures are managed by conservative treatment methods such as closed reduction and casting and other methods are operative fixation with flexible plates and nails. In previous studies it was reported that radius-ulna fractures are usually occurred probably due to poor bone mineralization, Vitamin D deficiency and due to decreased physical activity. <strong>Material & Methods:</strong> 50 Patients below 18 years of the age and presented at hospital with radius-ulna fracture were enrolled from emergency and outdoor departments by simple random sampling. Institutional Ethics Committee Clearance was obtained before start of study and written and informed consent for the procedure was obtained from all the patients. <strong>Results:</strong> In the present study, out of the total study participants, most of the cases had middle third fractures among 29 (58%) patients which was followed by fractures of proximal one third in 12 (24%) patients and fractures of distal one third was found among 09 (18%) patients. All of the total study participants had radial fractures at the presentation of primary fracture. Out of the total study participants 38 (76%) patients had associated ulna fracture. Out of the total study participants Radius was reported to be involved in all patients of re-fractures. Out of the total study participants, tricortical union was seen in all patients at the end of 8 weeks. In the present study, out of the total study participants, none of the patients developed post-operative infections and neurologic deficits. <strong>Conclusion: </strong>We concluded from the present study that pediatric radius-ulna fractures can be managed by both conservatively and operatively with good outcome and results were similar to the treated primary fractures.
8
Hulse, D. A., S. C. Kerwin, W. B. Saunders, and T. H. Witsberger. "Minimally invasive application of a radial plate following placement of an ulnar rod in treating antebrachial fractures." Veterinary and Comparative Orthopaedics and Traumatology 23, no. 06 (2010): 459–67. http://dx.doi.org/10.3415/vcot-10-01-0001.
Full textAbstract:
Summary Objective: To describe a surgical technique for placement of a minimally invasive radial plate following application of an ulnar rod (MIPR) for treatment of antebrachial fractures. Methods: Medical records (November 2005-June 2009) were searched to identify dogs with diaphyseal radius and ulna fractures stabilised by MIPR. Data retrieved included signalment, weight, limb affected, cause of injury, open versus closed fracture, number of fragments, implant size, number of screws used and cortices engaged, number of open screw holes, operative time, rod removal, complications and time to radio-graphic healing. To be included, dogs had to have evidence of radiographic healing during follow-up. Results: Eight dogs with diaphyseal radius and ulna fractures treated with MIPR were included in the case series. All fractures were due to trauma and two fractures were open (grade 1). Rod loosening and osteomyelitis of the ulna occurred in one case which subsequently resolved with rod removal. Healing occurred in all cases with no implant failures. Median time to radiographic union was 10.5 weeks (mean ± SD = 17 ± 15 weeks range 4–52 weeks). Clinical relevance: Use of MIPR constructs on diaphyseal fractures of the radius and ulna is an effective technique for managing these fractures using principles of biological osteo-synthesis. An intramedullary rod in the ulna assists with fracture reduction and stabilisation and rod removal is recommended once fracture healing has occurred.
9
Mehmet, Zeki Yılmaz Deveci, Tayer İşler Cafer, Enes Altuğ Muhammed, et al. "Treatment of Radius and Ulna Fractures in Toy and Miniature Breed Dogs (22 Cases)." International Journal of Veterinary and Animal Research 5, no. 2 (2022): 66–72. https://doi.org/10.5281/zenodo.7020400.
Full textAbstract:
Radial and ulnar fractures are common in small animals. Especially toy and miniature breed dogs are at high risk of incidence. Although there are plenty of studies on the treatment of radius and ulna fractures in small animals, studies related to the radius and ulna fractures in toy and miniature breed dogs are limited. The objective of this study was to report the diagnostic information and treatment outcome of radial and ulnar fracture treatment in toy and miniature breed dogs. Radius and ulna fractured 22 toy and miniature breed dogs were included in the study. Clinical findings, radiographic images, treatment applications, prognosis and outcomes were evaluated. As a treatment method, external coaptation in 5 extremities and surgical reduction and osteosynthesis in 17 extremities were performed. Out of 5 dogs who underwent external coaptation, 4 had good outcome and 1 had malunion. Out of 17 patients which underwent surgical treatment, 13 had a good outcome, 2 had nonunion, 1 had surgical site infection, and 1 had malunion and implant failure. As a result, original data on the etiology, diagnosis, treatment, prognosis evaluations, and surgical outcomes of radius and ulna fractures of toy and miniature breed dogs were presented. External coaptation considered could be successful in closed and undislocated radius and ulna fractures of toy and miniature breed dogs. However, the surgical approach and osteosynthesis performing are considered essential in dislocated, comminuted, complicated fractures, or open fractures. Further prospective studies are needed to compare specific surgical treatment methods.
10
Gaurav, Parikh, Leuva Vipul, Ansari Ejajahmed, and Rangwala Avi. "Analysis of Outcomes between Intramedullary and Extramedullary Fixation of Fracture of Radius and Ulna." International Journal of Pharmaceutical and Clinical Research 15, no. 9 (2023): 353–59. https://doi.org/10.5281/zenodo.11340214.
Full textAbstract:
<strong>Introduction: </strong>The radius and ulna are the most usually fractured upper extremity bones owing to falls on extended hands. Imaging confirms the diagnosis and children often have buckle or greenstick fractures treated by angulation. “Distal radius fractures” in adults are commonly splinted. Midshaft ulna fractures may need surgery or immobilisation. Surgery is frequently needed for many fractures. Elbow function is important with radial head fractures. <strong>Aims and Objectives:</strong> This study compares intramedullary and extramedullary forearm fracture fixation procedures. <strong>Method: </strong>This prospective study at Sheth L.G. Hospital in Ahmedabad, India, examined 18 to 65-year-olds with concurrent closed radius and ulna shaft fractures from July 2021 to May 2023. The surgery involved open reduction and dynamic compression plate or intramedullary nailing for internal fixation. Fracture union, comorbidities, and function were examined. Its rigorous methodology allowed a meaningful comparison of intramedullary and extramedullary fixation for both bone forearm fractures, providing clinical insights. <strong>Result:</strong> Table 1 lists the anterior fascial compartment’s forearm muscles’ origins, insertions, and nerve supplies. These muscles include the Pronator Quadratus, which originates from the ulna’s anterior surface and enters into the radius in Table 2. Table 3 shows primary function is forearm pronation, twisting the palm downward or posteriorly for actions like turning a doorknob or altering hand orientation. Innervated by the median nerve’s anterior interosseous branch (C8, T1). This muscle coordinates forearm and hand movements in Table 4. <strong>Conclusion: </strong>Our study found that intramedullary nail fixation for forearm fractures is comparable to plate fixation and has fewer complications.
11
Nişancı, Onur Seçgin, Birsen Özyurt, and Murat Uysal. "Anatomical Examination of Humerus, Radius and Ulna Fractures in 18-64 Year Old Individuals Applying to the Emergency Department." Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14, no. 1 (2025): 32–40. https://doi.org/10.37989/gumussagbil.1609694.
Full textAbstract:
In this study, it was aimed to anatomically examine the fractures of the humerus, radius and ulna, which have a significant admission rate in emergency departments, and to explain the relationship between different fracture parameters. The anatomical distribution of humerus, radius and ulna fractures in 239 patients who presented to xxx University Hospital between 2012 and 2018 were retrospectively investigated. Participants were between the ages of 18-64 years and were diagnosed with a fracture in only one bone. It has been found that fractures are more common in men and in the 18-44 age group (p
12
Chung, Lim Tin, Faris Indra Prahasta Didi Indra, and Mohd Anuar Ramdhan Ibrahim. "A RARE CASE OF TRIFOCAL RADIUS FRACTURE." Journal of Health and Translational Medicine 26, no. 2 (2023): 89–93. http://dx.doi.org/10.22452/jummec.vol26no2.10.
Full textAbstract:
Trifocal fracture of a radius is a rare injury. Trifocal factures involving the shaft of a radius were previously mentioned in a few literature. This type of fractures, involving proximal, shaft, and distal radius with ulna shaft fracture, has also been reported once. However, to the best of our knowledge, our report is the first describing trifocal injuries affecting the shaft and proximal and distal intraarticular part of the radius with an intact ulna shaft. Thorough clinical and radiological assessments are necessary for diagnosis as these injuries are commonly missed. We would like to share the presentation of this rare case and the importance of the correct management to achieve a good outcome.
13
Yoneda, H., and K. Watanabe. "Primary excision of the ulnar head for fractures of the distal ulna associated with fractures of the distal radius in severe osteoporotic patients." Journal of Hand Surgery (European Volume) 39, no. 3 (2013): 293–99. http://dx.doi.org/10.1177/1753193413504160.
Full textAbstract:
We performed primary excision of the ulnar head on 23 patients over 70 years of age with severe comminuted fractures of both the distal radius and ulna. The distal radius fracture was fixed rigidly with a volar locking plate, and the ulnar head was resected at the fracture site. All the distal radial fractures united without major complications. The mean wrist flexion/extension arc was 122°, the mean pronation/supination arc was 164°, and grip strength was 69% of that on the contralateral side. All patients returned to their daily activities within a short time without any additional surgical treatment. For elderly patients, primary excision of the ulnar head is an effective treatment for comminuted distal radius and ulna fractures.
14
Ghimire, N., S. Uprety, and A. Lamichhane. "Risk factors for redisplacement in pediatric distal radius fractures after closed reduction and cast immobilisation." Journal of Institute of Medicine Nepal 38, no. 1 (2016): 81–84. http://dx.doi.org/10.59779/jiomnepal.732.
Full textAbstract:
Introducation: Pediatric distal radius fractures are one of the most common fractures that we see in our practice. The primary modality of treatment of the displaced fractures of distal radius in children is closed reduction and immobilization in cast. Loss of alignment in cast after an acceptable reduction is common. Twenty one to fifty percent rates of redisplacement in cast after acceptable initial reduction have been reported in literature. Methods: This prospective study included 58 fractures of distal radius and distal third shaft of radius in 57 children with radiologically open physis. Age, gender, initial displacement, associated fracture of the ulna, adequacy of reduction, cast index and gap index were evaluated as possible risk factors for redisplacement in cast. Results: A redisplacement rate of 34.48%was found in distal radius fractures of children after acceptable initial closed reduction and immobilization in cast. Initial complete displacement, degree of initial translation in coronal and sagittal plane, degree of initial angulation in the coronal plane, associated fracture of the ulna, non anatomical initial reduction and cast index were found to be significant risk factors for redisplacement. Age, gender, initial angulation in the sagittal plane and gap index were insignificant risk factors. Conclusion: Distal radius fractures in children have high rate of redisplacement in cast. Fractures with initial complete displacement, fractures with associated fracture of ulna and non-anatomically reduced fractures should either be treated by primary closed reduction and percutaneous pinning or must be followed very carefully in cast treatment. Cast index rather than gap index is a better predictor of loss of reduction in cast.
15
Shelton, Trevor J., J. Ryan Taylor, Lauren Agatstein, Andrea Bauer, and Brian Haus. "DISTAL ULNA PHYSEAL ARREST FOLLOWING DISTAL FOREARM FRACTURES IN CHILDREN." Orthopaedic Journal of Sports Medicine 7, no. 3_suppl (2019): 2325967119S0019. http://dx.doi.org/10.1177/2325967119s00190.
Full textAbstract:
Background: Pediatric forearm fractures are a common injury with only a small subset of these involving the distal physes of the radius and ulna. A common mechanism of injury in these fractures are from sports related injuries or fall on outstretch hand. Physeal fractures of the distal radius are well-studied, with varying rates of growth arrest and potential for deformity depending on the type of physeal fracture. The incidence and long-term complications of pediatric forearm fractures involving the distal ulna physis remains largely unknown. Distal ulnar physeal arrest can lead to the development of radioulnar length discrepancy and angular deformities. Two previous studies of limited sample size report a 50-55% of physeal arrest when the ulnar physiss was involved in the fractur, which seems higher than what is seen at our institution. The purpose of this study was to investigate the demographic distribution, as well as the incidence of physeal arrest following a physeal fracture of the distal ulna. Methods: After institutional review board approval, a retrospective study was performed of all patients with distal forearm fractures treated at our institution from January 2003 until December 2017. We included patients < 18 years of age who presented to our level-1 emergency department or to our orthopaedic department and excluded those with extra-physeal fracture and closed physis. Wrist x-rays of 1,618 patients with distal forearm fractures were reviewed revealing a total of 52 patients with distal ulna physeal fracture. Patient demographics including age, gender, height, weight, mechanism of injury, and age at follow up was recorded. Each injury x-ray was reviewed and the distal ulna physeal fracture was categorized using the Salter-Harris (SH) classification system. Concomitant injuries were also recorded and if there was a radial physeal injury the SH classification system was used again. All follow up radiographs > 6 months post-injury were reviewed to assess for physeal arrest. Results: There were a total of 11 patients (average age at injury 10 ± 2 years; 5 males, 6 females; average height 1.5 0.2 m, average weight 47 ± 23 kg) with at least 6 months follow up post injury (average follow up time 2.4 ± 2.2 years. Of these, the most common mechanism was fall on outstretch hand occurring 64% of the time (n = 7), followed by sports in 18% (1 football, 1 baseball), and 9% fall from bike (n = 1), and 9% from ATV accident (n = 1). The most frequent distal ulna physeal fracture was SH type 2 occurring 55% of the time (n = 6), while 36% had a SH type 3 (n = 4), and 9% had a SH type 1 (n = 1). Eight patients had an ipsilateral radius fracture with 45% having a metaphyseal fracture (n = 5) and 27% having a distal radius physeal fracture (n = 3; one SH type 1, and two SH type 2). One patient had an ipsilateral supracondylar fracture and another patient had a Galeazzi fracture. Casting was the most frequent treatment occurring 64% of the time (n = 7), followed by closed reduction and casting in 18% (n = 2). Closed reduction and percutaneous pinning was done in 9% (n = 1), and open reduction and internal fixation (ORIF) was done in 9% (n = 1). None of these patients developed distal ulna physeal arrest (while one of them developed a distal radius physeal arrest. The one patient with the Galezzi fracture did go on to develop a malunion with clicking of his wrist despite being treated with ORIF and required a revision osteotomy 7 months later. The remainder of patients had no complications. Conclusion/Significance: The most important finding of this study is that the rate of distal ulna physeal arrest following fracture was 0%. This is in contrast to previous studies of limited sample size that reported a rate of 50-55%. Our results demonstrate a much lower incidence of distal ulnar physeal arrest than previously thought in the pediatric population with distal forearm fractures. These findings suggest that the majority of patients with distal ulna physeal fractures do well with conservative management, and may only require routine clinical and radiographic follow up.
16
Mane, Akash Nagnath, Neel Kamal Sourav, Ankit B. Waghela, and Vijay M. Panchnadikar. "Single dorsal incision approach for plate fixation of radius ulna midshaft fracture; interesting case report." Indian Journal of Orthopaedics Surgery 9, no. 1 (2023): 34–37. http://dx.doi.org/10.18231/j.ijos.2023.009.
Full textAbstract:
Radius and ulna shaft fractures, also known as both bone forearm fractures, are common fractures caused due to direct or indirect trauma. Open reduction and internal fixation with plating by two separate incisions is a standard and widely accepted mode of fixation. We report a case where we approached the fracture with a single dorsal incision. An eighty years old female had fractures of both radius and ulna shaft with Gustilo Anderson type two open injury. We managed the patient with single-stage debridement, open reduction, and dynamic compression plate (DCP) fixation of both bones with a single dorsal curvilinear incision and followed up postoperatively for one year. At the end of the last follow-up, the patient had no pain with a full range of movement. There were no wound-related issues. Radiologically complete union occurred without complications mentioned in the literature, such as synostosis.: We found that under specific circumstances such as open injury where two separate incisions for radius and ulna are inappropriate, a single dorsal curvilinear incision for radius and Ulna midshaft fractures is a safe and effective alternative method.
17
ALAM, WAQAR, FAAIZ ALI SHAH, ZAFAR DURRANI, Zahid Askar, Muhammad Ayaz Khan, and Sikandar Hayat. "UNSTABLE FRACTURE OF RADIUS AND ULNA." Professional Medical Journal 18, no. 02 (2011): 323–27. http://dx.doi.org/10.29309/tpmj/2011.18.02.2102.
Full textAbstract:
Objectives: To know the functional outcome of Intramedullary Kirschner Wire fixation of unstable Radius-Ulna fractures in children. Study Design: Descriptive study. Period: 27/03/2009 to 26/03/2010. Setting: Department of Orthopedic and Trauma, Khyber Teaching Hospital, Peshawar. Patients and Methods: All patients were admitted from OPD . Children less than 16 years with Unstable Radius- Ulna fractures were included in the study. Patients with open fractures and adults with polytrauma were excluded from the study. Unstable Radius-Ulna fractures were treated by Intramedullary Kirschner Wire fixation under general anesthesia and tourniquet control. Follow up till radiological and clinical union was done. K-wires were removed after healing of fractures. Patients were assessed functionally and radiologically and results were graded according to Price et al Criteria. Results: A total of 64 children with unstable radius and ulna fractures were included in the study. The age range was 6 to 15 years with average age of 10.41 years. 47 were male and 17 were female. The average time of radiological union was 7 weeks and K-wires were removed at 8 weeks time. At final assessment there were 47 Excellent, 10 Good and 7 Fair results. Conclusions: Excellent results can be achieved by Intramedullary K-Wires fixation. In children with unstable Radius-Ulna fractures. It should be the method of choice for treating these fractures.
18
Mahajan, Neetin P., Prasanna Kumar G. S., Kishor Jadhav, Kartik Pande, and Tushar Patil. "Radius-ulna shaft fracture with distal radioulnar joint instability in a case of ipsilateral malunited colles fracture: a case report." International Journal of Research in Orthopaedics 7, no. 3 (2021): 695. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20211635.
Full textAbstract:
<p class="abstract">Malunion of the distal end of radius is a known consequence of the conservative management. The functional impairment depends on the severity of the deformity and it can be associated with distal radioulnar joint (DRUJ) instability. Subsequent radius ulna fracture in an elderly osteoporotic patient is a challenging task to manage. A 60 year old female patient came with radius ulna shaft fracture with DRUJ instability with ipsilateral malunited distal radius fracture. We managed with open reduction and internal fixation using 3.5 mm locking compression plate (LCP) with ulnar shortening and K wires for DRUJ. At one year, follow-up, patient is having good clinical and radiological outcome without any complications. Radius ulna shaft fracture in cases of malunited colles fracture with positive ulnar variance with DRUJ instability can be managed well with open reduction and internal fixation of radius-ulna shaft which provides stable fixation, ulnar shortening at the fracture site to maintain the neutral/negative ulnar variance and DRUJ fixation using K wires. Use of multiple vicryl sutures to tie the plate to the bone gives additional stability in osteoporotic bones till the fracture unites and prevents implant failure. Combination of the above mentioned procedures helps in getting good functional outcome in elderly osteoporotic patients.</p>
19
Naito, Kiyohito, Yoichi Sugiyama, Hiroyuki Obata, Atsuhiko Mogami, Osamu Obayashi, and Kazuo Kaneko. "Screw Fixation and Autogenous Bone Graft for an Irreducible Distal Ulna Fracture Associated with Distal Radius Fracture." Journal of Hand Surgery (Asian-Pacific Volume) 22, no. 02 (2017): 236–39. http://dx.doi.org/10.1142/s0218810417720145.
Full textAbstract:
Distal ulna fractures often occur with distal radius fractures, and their treatment method is still controversial. We considered reduction of the distal radio-ulnar joint (DRUJ) surface the most important factor when treating distal ulna fractures accompanied by residual dislocation. We herein presented a patient with a distal ulna fracture accompanied by dislocation of the DRUJ surface in whom an autogenous bone fragment collected from the radius was grafted onto the ulnar bone defect after open reduction and Herbert screw fixation. In this technique, the bone fragment was supported through the medullary cavity by inserting a Herbert screw, which was less likely to cause irritation between the screw and surrounding tissue, because the screw was almost entirely present in the bone. In addition, an autogenous bone graft from the same surgical field may be less invasive than that from another region.
20
Sengodan, Mugundhan M. "Malunited Isolated Intra-articular Fracture of Ulnar Head." Journal of Orthopedics and Joint Surgery 2, no. 2 (2020): 74–78. http://dx.doi.org/10.5005/jp-journals-10079-1024.
Full textAbstract:
ABSTRACT Fractures of distal ulna are often associated with fracture distal radius. Isolated intra-articular fractures of ulnar head have very rarely been reported in the literature. Displaced intra-articular fractures of ulna head should be treated properly so that the distal radio ulnar joint congruence is maintained. I am reporting a case of malunited isolated intra-articular fracture of ulnar head in young girl which was treated by open reduction and internal fixation. Logan and Lindau in their review of literature and recommendations for treatment of distal ulna fractures in adults found only few case reports. All those reported cases were treated soon after the injury. This case has been presented not only for its rarity but also to recognize the importance of managing the intra-articular fractures properly even in distal ulna. How to cite this article: Sengodan MM. Malunited Isolated Intra-articular Fracture of Ulnar Head. J Orth Joint Surg 2020;2(2):74–78.
21
Goring, R. L., J. J. Haan, and W. C. Renberg. "Repair of Diaphyseal Radius and Ulna Fractures Using a Modified Type I External Skeletal Fixator and Ulnar Intramedullary Pin." Veterinary and Comparative Orthopaedics and Traumatology 09, no. 01 (1996): 29–35. http://dx.doi.org/10.1055/s-0038-1632498.
Full textAbstract:
SummaryModified type I external skeletal fixation of the radius (using a curved connecting bar and unique pin placement) was combined with intramedullary pinning of the ulna to repair eight ipsilateral radius and ulna fractures in dogs. The intramedullary ulnar pin was placed first, aligning the radial fragments, which allowed closed application of the radial fixation. External skeletal fixation was designed to minimize soft tissue trauma and achieve a uniform boneto- connecting-bar distance. Seven of eight fractures healed in eight to twelve weeks with the technique described. The eighth case needed additional fixation following complications associated with the severity of the injury. Results of this study demonstrate that the technique is a suitable alternative for repair of the fracture types included.A modified type I external skeletal fixator and intramedullary pin was successfully used to repair radius and ulna fractures. The technique was developed in order to provide technically simple but rigid stabilization that minimized soft tissue disruption. The technique is described along with the results in a variety of fracture types.
22
J, Sreejith Thampy, Arun H.S, and Sagar V. "Postero-Lateral Elbow Dislocation With Ipsilateral Radius And Ulna Fracture: A Case Report." JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES 08, no. 1 (2018): 27–29. http://dx.doi.org/10.58739/jcbs/v08i1.1.
Full textAbstract:
Elbow dislocation with ipsilateral diaphyseal fracture of both radius and ulna is a rare injury. How-ever, elbow dislocation with either radius or ulna diaphyseal fracture is commonly reported. We report an uncommon injury of a 33 years old male who had his elbow dislocation with ipsilateral both bones forearm fracture. Elbow dislocation was reduced and fracture both bones were fixed with low contact dynamic com-
23
Rahman, Khatib Shafiur, Mohammad Sultanul Arefin, and Md Nazmul Islam Nissan. "Evaluation of Fixation of Fracture Shaft of Radius Ulna without Tourniquet." Saudi Journal of Medical and Pharmaceutical Sciences 9, no. 05 (2023): 282–86. http://dx.doi.org/10.36348/sjmps.2023.v09i05.002.
Full textAbstract:
Background: Plate fixation is the mainstay of care for distal forearm shaft fractures in adults. By and large, volar or dorsal plating is used for radial shaft fractures. The radius's lateral surface offers an equal and constantly curved region for inserting a plate. The radial bow may be readily evaluated and restored after surgery. A prospective investigation was performed to examine the result of lateral plating of radius shaft fractures. Objective: In this study our main goal is to evaluate the treatment outcome of fixation of fracture shaft of radius ulna. Method: The research was conducted at tertiary medical hospital and district general hospital, Dinajpur included 100 patients. Several of them had broken both of their forearm bones, while others had broken only the radial shaft. Within 36 hours of damage, all patients were fixed with a 3.5 mm restricted contact dynamic compression plate or locking compression plate on the lateral surface of the radius. Typical procedure was used to repair the ulna. Results: During the study, majority were belong to 32-40 years age group, 36%. Followed by 20% were belong to 41-50 years age group, 11% belong to 20-31 years age group. In addition to that, 80% were male. 75% had fractured both of their forearm bones. Followed by 70% had closed fractured type, 35% had motor vehicle accident and lastly 85% had middle third radial shaft. Union was assessed by gradual disappearance of the fracture line and/or development of bridging callus at the fracture site. After getting treatment, 89% patients had excellent results, 8% had satisfactory and 1% had unsatisfactory result. There was 1% failure (nonunion). Conclusion: As compared to conventional methods, radial lateral plating holds promise as a viable option. Longitudinal studies with larger patient groups and study criteria are needed to confirm the potential advantages and validate our results.
24
Abboudi, Jack, Scott M. Sandilands, C. Edward Hoffler, William Kirkpatrick, and William Emper. "Technique for Intramedullary Stabilization of Ulnar Neck Fractures." HAND 13, no. 5 (2017): 563–71. http://dx.doi.org/10.1177/1558944717725376.
Full textAbstract:
Background: Distal ulna fractures at the ulnar neck can be seen in association with distal radius fractures, and multiple techniques have been described to address the ulnar neck component of these injuries. We have found that treatment of ulnar neck fractures can be challenging in terms of anatomy and fracture fixation. We present a new percutaneous fixation technique for ulnar neck fractures commonly seen with distal radius fractures. Technique: Fixation of the ulnar neck fracture is performed after fixation of the distal radius fracture. Our technique uses anterograde intramedullary fixation to stabilize the fracture with a 1.6-mm (0.062 inch) Kirschner wire or a commercially available metacarpal fixation intramedullary nail. The fixation is introduced into the intramedullary space of the ulnar shaft 4 to 6 cm proximal to the fracture at a separate surgical site along the subcutaneous border of the ulna. The fixation is also supported with a sugar-tong splint for the first few weeks after surgery and requires removal of the ulnar implant approximately 10 weeks after implantation. Conclusion: Our technique utilizes a percutaneous approach with minimal fracture exposure. It provides a relatively simple and reproducible method to address ulnar neck fractures commonly seen in association with distal radial fractures.
25
Ajit Singh, Vivek, Tan Yong Jia, Rupini Devi Santharalinggam, and Jayaletchumi Gunasagaran. "Relationship of ulna styloid fracture to the distal radio-ulnar joint stability. A clinical, functional, and radiographic outcome study." PLOS ONE 18, no. 1 (2023): e0279210. http://dx.doi.org/10.1371/journal.pone.0279210.
Full textAbstract:
Background Ulna styloid fracture occurs approximately about 55% of all distal end of radius fractures. However, the clinical and functional outcome of these fractures remains indefinite. Results Only 56 patients with distal radius fractures had concomitant ulna styloid fractures. The mean age was 32 years (range: 18–69; SD: ± 12.7). The majority were men. The mean time from injury was 18.7 months (range: 6–84; SD: ± 13.3). The most common was Frykman 2, followed by 6, type 8, and type 4. All were closed fractures; 60.7% were base, and 39.3% were tip fractures. 50% were treated with casting, 48.3% plating, and 1.8% external fixation. The mean period of casting was 7.67 weeks (range: 4–16; SD ± 3.1). The ulna styloid was united in 35.7%. There is no significant difference in the range of movement between those with ulna styloid union and non-union. The Ballottement test and Piano key sign was statistically insignificant between both groups. All the displacements were dorsal except in 1 case. The mean displacement of ulna styloid is 1.88mm (SD±1.08, Range: 0.20–4.60mm). The mean VAS score at rest and work is not statistically significant. The mean grip strength and functional score (DASH) are similar in both groups. Conclusion Ulna styloid fractures do not contribute to the DRUJ instability and the status of the union of the ulna styloid and the site of the ulna styloid fracture (tip or base) did not have a bearing on the range of movement and functional status of the affected wrist. Temporary DRUJ immobilization might allow TFCC recovery.
26
Damopolii, Christina A., Joudy Gessal, and Jonathan P. Suyono. "Medical Rehabilitation in Patient with Post ORIF et causa Neglected Epiphyseal Fracture Distal Radius-Ulna Sinistra: A Case Report." e-CliniC 11, no. 2 (2023): 233–42. http://dx.doi.org/10.35790/ecl.v11i2.44765.
Full textAbstract:
Distal radius-ulna fracture is one of the most common human osseous injuries, with incidence rate increasing worldwide. There are two peaks of prevalence: the first around the 10th and the second around the 60th year of life. During childhood, they are among the most common pediatric fractures accounting for 19.9 to 35.8% of all pediatric fractures. We reported a case of a boy 13 years old diagnosed as post open reduction internal fixation distal radius ulna et causa epiphyseal fracture. He came to rehabilitation outpatient clinic with chief complaint pain on his left forearm. He underwent a surgery two weeks ago at the distal radius ulna. The surgeon did osteotomy on ulna and then fixated with plate and screw. On physical examination, there were pain and range of motion limitation mainly on the forearm and wrist joint. The patient was treated with low level laser therapy at the surgical wound to promote healing and decrease edema, initial digital motion exercise along with active range of motion of the uninvolved joints. He was also educated about icing and medicamentation if pain still persisted. Once adequate bony healing had occurred, active, active-assisted, progressive passive wrist motion, and strengthening exercise using resistance were performed to maximize the result. At the end of rehabilitation program, there was great improvement on pain and also range of motion improvement. Albeit, there was still a slight range of motion limitation on ulnar deviation and wrist extension by 5 degrees. In conclusion, rehabilitation program is very beneficial in treating post-surgery patient using modalities and exercises to improve functional function. Keywords: epiphyseal fracture; radius-ulna; medical rehabilitation
27
Nayar, Suresh K., Anne M. Kuwabara, José M. Flores, Greg M. Osgood, Dawn M. LaPorte, and Babar Shafiq. "Venous Thromboembolism in Upper Extremity Fractures." Journal of Hand Surgery (Asian-Pacific Volume) 23, no. 03 (2018): 320–29. http://dx.doi.org/10.1142/s2424835518500303.
Full textAbstract:
Background: Venous thromboembolism (VTE) has been studied in lower extremity fractures but little is known of its relation with upper extremity (UE) fractures. As an often overlooked but serious complication, VTE may compromise patient outcomes. Methods: Using data on inpatients (aged ≥ 18 years) at a level-I trauma center and patients in the National Surgical Quality Improvement Program database who sustained UE fractures (clavicle, humerus, or radius/ulna) and VTE in the same hospitalization between 2007 and 2014, the authors analyzed data on demographic characteristics, fracture type, VTE location (pulmonary embolism, lower extremity, or UE), VTE onset, polytrauma, operative or nonoperative management, comorbidities, and mortality. Results: Of 1984 inpatients with UE fractures at 1 instution, 9 experienced VTE on admission, and 17 (15 received thromboprophylaxis) experienced VTE during hospitalization, for an overall VTE rate of 1.3%. VTE occurred most often in patients with fractures of the proximal humerus (3.0%) followed by the clavicle (2.0%), midshaft humerus (1.9%), distal radius/ulna (0.95%), and distal humerus/elbow (0.36%) (p = 0.0035). There were no significant trends in the incidence of PE (p = 0.33) over the study period, but there was a sharp rise since 2011. In the national database, 42 of 11570 (0.36%) patients with UE fracture had VTE, with incidence by fracture location ranging from 0.14% (radius/ulna) to 0.98% (proximal humerus) (p = 0.00001). Predictors were chronic steroid use (odds ratio [OR] = 6.22, p = .030), inpatient status (OR = 4.09, p = .002), and totally disabled functional status (OR = 3.31, p = .021). Conclusions: VTE incidence was highest following proximal humerus or clavicle fractures and are rarely associated with radius/ulna fractures. There may have been a rise in the incidence of PE since 2007, warranting further investigation.
28
Movrin, Igor. "Hybrid fixation for repair of dual forearm fractures of adolescent patients: A case report and literature review." Acta Medico-Biotechnica 17, no. 1 (2024): 47–51. http://dx.doi.org/10.18690/actabiomed.267.
Full textAbstract:
Purpose: To assess hybrid fixation as an alternative option for repair of dual forearm fractures of adolescent patients. Case presentation: An 11-year-old boy presented with trauma to his right forearm resulting from playing on a trampoline. X-ray examinations confirmed fractures of both the right ulna and radius. Closed reduction and internal ESIN (elastic stable intramedullary nailing) fixation was selected for repair of the radius. Closed reduction of the ulnar fracture was unsuccessful, thus open reduction was performed. However, due to instability of the ulnar fracture after open reduction, internal plate fixation of the ulna was selected. At 3 months after surgery, the patient demonstrated full range of motion with no pain.
29
Mukherjee, Soutrik, R. Parkaviyan, and Kallol Banerjee. "Monteggia Equivalent Variant Type 1 in an Adult, its Management and Functional Outcome with Literature Review." Journal of Orthopaedic Case Reports 14, no. 10 (2024): 163–68. http://dx.doi.org/10.13107/jocr.2024.v14.i10.4848.
Full textAbstract:
Introduction: In 1814, Giovanni Battista Monteggia first described the fracture pattern which was further characterized by Luis Bado in 1967. Bado also coined the term Monteggia equivalent which includes a spectrum of complex fracture patterns and dislocations of the proximal ulna and radius. Monteggia equivalent lesions in adults are rare with different injury mechanisms compared to children, and thus having different management procedures. Case Report: We report a Type 1 Monteggia equivalent variant in a 31-year-old female who presented with a proximal ulnar fracture along with an ipsilateral radial neck fracture extending into the radial head. A fracture pattern that has not been reported much in literature as per our observations and we suggest should be considered a Monteggia equivalent Type 1b. Osteosynthesis of the ulna and proximal radius was done and at 1-year follow-up, complete radiological union with near-native function was achieved. Conclusion: Early recognition of such complex fracture patterns and a reconstruction of the proximal radius wherever possible gives a better outcome than arthroplasty or excision as per literature. Keywords: Monteggia fractures, Monteggia equivalent, Monteggia variants in adults, radial neck fractures.
30
Cappellari, F., B. Peirone, A. Ferretti, and L. Piras. "Treatment of fractures of the distal radius and ulna in toy breed dogs with circular external skeletal fixation: a retrospective study." Veterinary and Comparative Orthopaedics and Traumatology 24, no. 03 (2011): 228–35. http://dx.doi.org/10.3415/vcot-10-06-0089.
Full textAbstract:
SummaryObjective: To evaluate the effectiveness of circular external skeletal fixation (CESF) in treating fractures of the distal radius and ulna in toy breed dogs, and to document the type and frequency of complications associated with this technique.Methods: The medical records of small breed dogs with fractures of the distal radius and ulna admitted to the University of Turin and to the Clinica Ferretti between 2002 and 2009 were retrospectively reviewed. The criteria for inclusion of cases in the study were: body weight of 5 kg or less, transverse or short oblique fracture of the distal third of the radius and ulna, no previous repair attempts, and treatment with CESF as the sole method of fixation.Results: Twenty fractures in 16 dogs satisfied the criteria for inclusion into this study. No signs of infection or failure of fixation were detected in any case. Mean frontal plane alignment was 4.7° ± 2.7° and mean sagittal plane alignment was 12.7° ± 7.2°. Postoperative complications occurred in one patient. All fractures achieved union. Mean time until radiographic evidence of a bridging callus and subsequent implant removal was 71 days (range: 30–120).Conclusions: The results of this study support the use of CESF for treatment of fractures of the distal radius and ulna in toy breed dogs as an alternative to other methods of fracture fixation. However, this technique requires a series of follow-up examinations to evaluate the stability of the apparatus, the soundness of the wires and to determine the appropriate time for implant removal.
31
Narang, Ankit, Simrat Singh, Pallavi Verma, et al. "Surgical Repair of Radial-Ulnar Fracture by Static Intramedullary Interlocking Nailing in a Crossbred Heifer." Veterinary and Comparative Orthopaedics and Traumatology 31, no. 05 (2018): 373–78. http://dx.doi.org/10.1055/s-0038-1660872.
Full textAbstract:
Abstract Objective Study included surgical management of radius and ulna fracture in a 2-year-old, 220 kg crossbred heifer presented with a 2-day-old history of injury resulting in severe, non-weight bearing lameness of the left forelimb. Methods The condition was diagnosed clinically and confirmed radiographically as a middle third oblique comminuted fracture of the left radius and ulna. Static intramedullary interlocking nailing was performed for fracture fixation. An interlocking nail of 12-mm diameter and 26-cm length was introduced in a retrograde manner from the distal aspect of the radius. Results The animal was able to bear weight on the affected limb within 7 days post surgery. Good callus formation and complete weight bearing were observed by 35th day. Bending of the screws and osteophytic reaction were the major postoperative complications observed radiographically. Clinical Significance From this case study, it was established that static intramedullary interlocking nailing can be used as an alternative technique for fracture repair of the radius and ulna in cattle where stable fracture fixation by bone plating is questionable.
32
Rauwelio, Alvin, I Made Dwi Pramana, Benny Supono, Ida Ayu Apsari Pradnya Niti, William Audi, and I Wayan Widana. "Supraclavicular Block Using Ultrasonography (USG) Guidance in Patients with Moderate Radius Ulna Fractures Mitral Regurgitation Undergoing ORIF (Open Reduction and Internal Fixation): A Case Report." Bioscientia Medicina : Journal of Biomedicine and Translational Research 8, no. 7 (2024): 4618–24. http://dx.doi.org/10.37275/bsm.v8i7.1032.
Full textAbstract:
Background: Open fractures of the radius and ulna in elderly patients are conditions that require fast and appropriate treatment. Open reduction internal fixation (ORIF) is a common treatment option, but in elderly patients, general anesthesia may be high risk. Supraclavicular brachial plexus block is an effective and safe regional anesthetic option for ORIF in elderly patients. Case presentation: We report the case of a 71-year-old man with an open fracture of the left third radius and middle ulna who was planned for ORIF. The patient had comorbid hypertension and reduced left ventricular function. Supraclavicular brachial plexus block was performed using 0.5% bupivacaine (10 mL) and 2% lidocaine (10 mL). The patient did not complain of pain during the operation and recovered well. Conclusion: Supraclavicular brachial plexus block is an effective and safe regional anesthetic option for ORIF in elderly patients with open fractures of the radius and ulna.
33
Vatsya, Pulak, Anupam Gupta, Samarth Mittal, and Vivek Trikha. "Bone versus implant: an atypical presentation of a typical complication of forearm fractures." International Journal of Research in Orthopaedics 7, no. 4 (2021): 860. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20212437.
Full textAbstract:
<p class="abstract">Both bone forearm fractures are one of the most common upper limb fractures operated by orthopedicians. Although the primary surgery is usually relatively straight forward and simple, but we present a case where the primary surgery failed and the patient presented with a deformed hand after 5 months, even though there were signs of union on radiographs. When operated upon, although the ulna had undergone primary bone healing and a peri-implant fracture had occurred, whereas radius had refractured from the fracture site and the plate was bent giving the deformed appearance. We discuss this unique complication, the planning, difficulties and scope of errors in such a situation, where the race to union is won by ulna but lost by radius.</p>
34
Poroh, Manuela Gabi, Teodor Stefan Gheorghevici, and Bogdan Puha. "Peri-implant distal radius fracture due to car collision." Archive of Clinical Cases 10, no. 3 (2023): 114–18. http://dx.doi.org/10.22551/2023.40.1003.10254.
Full textAbstract:
Peri-implant fractures have gained increasing importance in orthopedics as the number of surgical procedures involving orthopedic implants rises globally. These fractures pose a significant challenge in terms of diagnosis, treatment, and postoperative management. They manifest as stress fractures distal to the implant site. Developing an effective treatment strategy involves evaluating multiple influencing factors. This article presents a rare case of a peri-implant distal radius fracture in a 63-year-old man, with no comorbidities, resulting from a car accident, classified as C1U in the Michele D’Arienzo system. The surgical intervention included plate fixation for the radius and wire fixation for the ulna. The wire was used for ulna instead of a plate, due to skin injuries, with good results. As life expectancy rises and individuals remain active in their elder years, the incidence of peri-implant fractures is expected to increase. Factors such as the implant type, surgeon's approach, and patient-specific elements may influence peri-implant fracture occurrence. The widespread use of plate fixation for distal radius fractures may also contribute to a parallel increase in such fractures. Providing detailed context and specific case presentation allows better understanding and implications for clinical practice.
35
Vezzoni, Luca, Paolo Abrescia, and Aldo Vezzoni. "Internal Radioulnar Fixation for Treatment of Nonunion of Proximal Radius and Ulna Fractures in a Toy Breed Dog." VCOT Open 04, no. 01 (2021): e24-e31. http://dx.doi.org/10.1055/s-0041-1723831.
Full textAbstract:
AbstractIn this case report, we describe an alternative surgical procedure to treat proximal radius and ulnar nonunion in a toy breed dog. A 14-month-old, Maltese cross-breed dog was referred after previous treatment with external and internal fixation had failed, resulting in a nonunion of a fracture of the proximal radius and ulna with the proximal radius fragment too small and friable to be used for fixation. A craniomedial approach was made to debride the radius nonunion site and a second approach to the lateral aspect of the ulna was made. The fracture was realigned and a titanium locking plate was applied in bridging fashion, fixed to the proximal ulnar fragment with three locking screws in the most proximal plate holes, a fourth screw was inserted in the mid-shaft of the distal ulnar fragment and three locking screws were inserted in the distal most holes of the plate through the distal ulna to engage the distal radial fragment. A recombinant bone morphogenetic protein 2 graft was inserted into the radius and ulna fracture sites. The dog had a successful clinical and radiographic outcome with bridging of the defect 4 weeks postoperatively and complete callus formation 8 weeks postoperatively. Implants have undergone dynamization and then removal. Use of a locking plate as an internal fixator achieving fixation of the proximal ulna and distal radius can be considered an option for the treatment of proximal radioulnar nonunions with a small proximal radial fragment.
36
Owen, Martin, and Mark Bush. "Type-IV variant Monteggia fracture with concurrent proximal radial physeal fracture in a Domestic Shorthaired Cat." Veterinary and Comparative Orthopaedics and Traumatology 22, no. 03 (2009): 225–28. http://dx.doi.org/10.3415/vcot-08-06-0048.
Full textAbstract:
SummaryA fracture of the proximal 1/3 of the ulna, with concurrent fractures of the proximal radial physis and the distal 1/3 of the diaphysis of the radius occurred in a three-month-old, male, neutered, Domestic Shorthaired cat. The ulnar fracture was stabilised with an intramedullary pin. The proximal radial physeal fracture was reduced and stabilised with two crossed Kirschner wires. The proximal radius was secured to the ulna with an additional Kirschner wire. The distal radial diaphyseal fracture was stabilised with a five-hole, 2.0 mm dynamic compression plate (DCP). Six weeks postoperatively the cat was using the limb comfortably and demonstrated a full range of motion of the elbow joint. There were radiographic signs of fracture union and the radioulnar pin had migrated. The Kirschner wires were removed. Follow-up at 18 months postoperatively revealed that the cat was using the limb normally without any lameness. A full, pain-free range of motion was present in the joints of the left thoracic limb.
37
Liang, Benjamin, Jen Ming Lai, Arul Murugan, Kin Ghee Chee, Sreedharan Sechachalam, and Tun-Lin Foo. "Proposed Guidelines for Treatment of Concomitant Distal Radius and Distal Ulna Fractures." Hand Surgery 20, no. 03 (2015): 396–401. http://dx.doi.org/10.1142/s0218810415500306.
Full textAbstract:
Background: Concomitant distal radius and distal ulna metaphysis or head fractures (DRUF) are uncommon and acceptable results have been reported from cast immobilisation and internal fixation. Methods: We reviewed the charts of 1094 patients treated for distal radius fracture at our institution in a two year period from 2009 to 2010. 24 patients with concomitant DRUF with were treated by cast immobilisation (group 1, n = 11), internal fixation of both bones (group 2, n = 7), internal fixation of radius alone (group 3, n = 2), and internal fixation of radius with distal ulna resection (group 4, n = 4). Patients treated by surgery underwent intraoperative assessment of distal ulna stability to determine the indication for ulna fixation. Post surgical range of motion, clinical parameters, and functional outcome scores (Gartland-Werley and modified Mayo) were measured. Results: Wrist motion was comparable in each group. Radiographic parameters were better in surgical groups. 23 of 24 patients achieved excellent/good outcomes based on Gartland-Werley scores, while 12 of 24 achieved good modified Mayo wrist score. There was a case of distal ulna non-union in group 1, and another case of delayed distal radius union in group 2. Conclusions: By evaluating patients’ functional requirement, and dynamic fluoroscopy examination, satisfactory outcomes can be achieved for various presentations of DRUF.
38
Srikanth, I. Muni, Kalyan Deepak Sreenivas, Vineet Thomas Abraham, and Pratik Talwar. "Alternative Management Approach for Infected Gap Non-Union of Both Bone Forearms – A Case Report." Journal of Orthopaedic Case Reports 14, no. 12 (2024): 120–24. https://doi.org/10.13107/jocr.2024.v14.i12.5044.
Full textAbstract:
Introduction: Infected gap non-union is a serious complication seen in cases of diaphyseal fracture of forearm bones. It carries high morbidity in the form of severe functional impairment and poses a challenge to treat due to the complex anatomical relationship and articulations involved. Though there are multiple treatment options available, there are no guidelines for its management. Each case is unique and requires a customized, patient-specific approach. Case Report: A 43-year-old man sustained a road traffic accident with closed both bone forearm fracture 6 months ago and was treated elsewhere with open reduction plate fixation of the radius, and Kirchner wire fixation of the ulna. Subsequently, he developed a purulent discharging sinus from the surgical site. After 7 months, following a trivial injury, the patient developed a deformity in his forearm. X-ray findings revealed a bent radial plate, signs of osteolysis, implant loosening along with displaced shaft of ulna fracture. The patient underwent implant removal with radial shortening and plate osteosynthesis for radius and ulna. Conclusion: In cases of infected gap non-union of radius and ulna, the key for management is thorough debridement with retention of vascularity by minimal soft tissue damage, followed by rigid fixation of the fracture. Simultaneously, adequate steps should be taken to manage the infection, such as culture-specific antibiotics and monitoring of inflammatory markers such as complete blood count, Erythrocyte sedimentation rate, and C-reactive protein. Keywords: Forearm, infected non-union, plate osteosynthesis, docking, radius, ulna.
39
Reichler, I. M., P. M. Montavon, and B. Haas. "Use of the tubular external fixator in the treatment of distal radial and ulnar fractures in small dogs and cats." Veterinary and Comparative Orthopaedics and Traumatology 16, no. 03 (2003): 132–37. http://dx.doi.org/10.1055/s-0038-1632769.
Full textAbstract:
SummaryTwenty-two fractures of the distal radius and ulna in small dogs and cats treated with a tubular external fixator system were evaluated. Radius/ulna fractures in toy breeds often occur in the distal metaphyseal region. Placing two screws through a bone plate in the distal radius in such cases is difficult even if a miniplate is used. The tubular external fixator allows multiple-pin clamping in parallel with a single connecting bar. Using this technique, four pins can be placed in a bone fragment, the length of which would hold only two screws in a 2.0 mini-DCP. The tubular external fixator was found to be a satisfactory alternative to bone plating for the fixation of distal radial/ulnar fractures, providing sufficient fracture stability with minimal soft tissue trauma.
40
Boretto, Jorge G., Ezequiel E. Zaidenberg, Gerardo L. Gallucci, Alejandro Sarme, and Pablo De Carli. "Comparative Study of Internal Fixation of the Ulna and Distal Ulna Resection in Patients Older Than 70 Years With Distal Radius and Distal Metaphyseal Ulna Fractures." HAND 14, no. 4 (2018): 540–46. http://dx.doi.org/10.1177/1558944718760000.
Full textAbstract:
Background: Acute management of fractures of the distal ulna that are associated with fractures of the distal radius remains difficult, particularly in the elderly. Methods: In this study, we investigated whether internal fixation of the distal ulna is associated with a higher rate of complications than resection of the distal ulna in patients older than 70 years. Twenty-four consecutive patients were included in this study, 12 of whom had undergone open reduction and internal fixation (ORIF) of the distal ulna, and 12 who had undergone distal ulna resection. Patients were retrospectively assessed for range of motion, grip strength, pain, and radiographic appearance. The functional outcome was evaluated by the Mayo Wrist Score. Complications were classified according to the Classification of Surgical Complications. Results: There were no differences in patient demographics between the 2 groups, except patient age. Clinical evaluation showed no difference at follow-up; however, there were significantly more complications associated with ORIF compared with resection. Conclusions: The results from our study show that women older than 70 years with fracture of the distal radius and distal ulna have a higher rate of complications if ORIF of the distal ulna is performed. Patients should be warned, by surgeons, of this in cases where ORIF of the distal ulna is suggested.
41
Ciminero, Matthew, Nick Yohe, Garret Garofolo-Gonzalez, and Jack Choueka. "Isolated Distal Ulna Fracture With Distal Radioulnar Joint Dislocation: A Novel Fracture Pattern." HAND 15, no. 4 (2019): NP57—NP62. http://dx.doi.org/10.1177/1558944719856116.
Full textAbstract:
Background: Galeazzi fractures composed of a middle to distal third radius fracture with dislocation and/or instability at the distal radioulnar joint (DRUJ) have been well described for decades. However, the inverse scenario has seldom if ever been described in the literature. Methods: We explore the case of a 25-year-old active patient who experienced a traumatic distal ulna fracture with dislocation of the DRUJ without a distal radius fracture. Results: It was successfully treated with open reduction and Kirschner wire fixation. The patient regained equivalent strength and range of motion compared with the contralateral uninjured extremity. Conclusion: We feel this patient’s successful postoperative course can guide future treatment plans for orthopedic surgeons who encounter similar fractures.
42
Andreev, P., A. Skvortsov, R. Khabibyanov, and M. Maleev. "TECHNOLOGY FOR TREATMENT OF OLD FRACTURES AND DISLOCATIONS MONTEGIA." Sciences of Europe, no. 139 (April 26, 2024): 36–42. https://doi.org/10.5281/zenodo.11069722.
Full textAbstract:
Old Monteggia fracture-dislocation is characterized by a fracture of the upper third of the ulna with angular displacement of the fragments, dislocation of the head of the radius, rupture of the annular ligament, and a significant period, more than 2 weeks, from the moment of injury. Fragments of the ulna grow together, as a rule, at an angle, the apex of which is directed to the radial side. In this case, due to the angle of deformation, the ulna shortens relative to the radius, the interosseous space decreases, and the tension of the interosseous membrane weakens, due to which even the openly reduced head of the radius is not held in the joint. With a significant period of time since the injury, the growth of the radius, deprived of support in the humeroradial joint, becomes excessively intense, as a result of which the length of the radius becomes greater than the relative length of the radius on the healthy limb. These features of Monteggia fracture-dislocation in children determine a significant number of unsatisfactory surgical outcomes and the ineffectiveness of conservative methods of treatment.
43
Lutsky, Kevin, Ludovico Lucenti, and Pedro Beredjiklian. "Distal Ulna Fractures Associated With Operatively Treated Distal Radius Fracture." Journal of Hand Surgery 43, no. 9 (2018): S34. http://dx.doi.org/10.1016/j.jhsa.2018.06.075.
Full text
44
Stramazzo, Leonardo, Giuseppe Rovere, Alessio Cioffi, et al. "Peri-Implant Distal Radius Fracture: Proposal of a New Classification." Journal of Clinical Medicine 11, no. 9 (2022): 2628. http://dx.doi.org/10.3390/jcm11092628.
Full textAbstract:
A peri-implant fracture near the volar plate of the distal radius represents a rarity and can be associated with a mechanical failure of the devices. A literature review was conducted including all fractures that occurred around a volar wrist plate, which could be associated with an ulna fracture. All articles published until December 2021 were considered according to the guidelines presented in the PRISMA Statement. The search was conducted with the PubMed electronic database, Cochrane Database of Systematic Reviews, Medline, Embase, and Google Scholar. Only nine cases of these fractures were reported in the literature. The causes could be due to delayed union/non-union of the old fracture after low energy traumas, high energy trauma in patients with poor bone quality, or hardware mechanical failure. Furthermore, the literature review of peri-implant radius fracture shows different level of radius fracture and types of implant failure. In accordance with these different cases, a new classification of peri-implant fracture of the distal radius is proposed.
45
KIKUCHI, Y., and T. NAKAMURA. "Irreducible Galeazzi Fracture-Dislocation Due to an Avulsion Fracture of the Fovea of the Ulna." Journal of Hand Surgery 24, no. 3 (1999): 379–81. http://dx.doi.org/10.1054/jhsb.1998.0007.
Full textAbstract:
We report a rare case of Galeazzi fracture-dislocation with an irreducible distal radioulnar joint. The cause of the irreducibility was entrapment of a fragment avulsed from the fovea of the ulna. The patient was successfully treated with open reduction and internal fixation of the radius, ulnar styloid process and avulsed fracture at the fovea of the ulna.
46
Deo, Amit, Navin Kumar Karn, and Roshani Bista. "Randomized Controlled trial Comparing Single Bone and Both Bone Fixation for Forearm Fracture in Children." International Research Journal of Multidisciplinary Scope 03, no. 03 (2022): 15–21. http://dx.doi.org/10.47857/irjms.2022.v03i03.079.
Full textAbstract:
Background: Fractures of shaft of the radius and ulna are one of the commonest injuries seen in the paediatric age group. Single bone intramedullary fixation has been advocated in the treatment of unstable diaphyseal forearm fractures. We conducted this study to evaluate the radiological and functional outcome in single bone and both bone fixation in forearm fracture in children. Methods: We designed a prospective randomized trial to compare single bone and both bone fixations in forearm fracture in aged 8-15 years. Fifty patients were presented to our institution during the period from May 2016 to May 2017 and randomly assigned a group with 25 patients in each group. Patients in Group A (SBF) were fixed with intramedullary Rush pin in ulna and those in Group B (DBF) were both radius and ulna were fixed. The patients were followed up for a period of twelve weeks. A radiological and functional outcome was evaluated and was compared and graded using Price et al. (1) criteria. Results: Among the 50 patients analyzed, randomization was successful. ROM of elbow at the final follow up was not statistically significant differences between two Groups. There were no statistically significant differences of radiological parameters at the final follow-up. Final assessment with Price et al. (1) criteria showed no statistically significant differences between two groups (P value- 0.1). Conclusion: Single bone ulna intramedullary fixation was comparable in terms of function and radiological parameter for both-bone forearm diaphyseal fracture in children.
47
ABE, M., H. SHIRAI, M. OKAMOTO, and T. ONOMURA. "Lengthening of the Forearm by Callus Distraction." Journal of Hand Surgery 21, no. 2 (1996): 151–63. http://dx.doi.org/10.1016/s0266-7681(96)80090-8.
Full textAbstract:
Ten patients aged 3 to 13 years (mean, 9 years and 7 months) underwent forearm lengthening by callotasis. The indications for lengthening were shortening and/or deformity of the forearm due to exostosis of the distal ulna in five cases, enchondroma of the distal ulna in one, growth disturbance after fracture of the distal radius in one, radial club hand in one, congenital amputation of the forearm in one and congenital dislocation of the radial head in one. Four had lengthening of the ulna, one of the radius and five of both the radius and the ulna. The average lengthening achieved was 30 mm. Complications encountered were pin track discharge in three cases, callus fracture in five, delayed consolidation of the callus in one and no callus formation in one. Review after 1 to 7 years follow-up (with a mean of 4 years and 9 months) showed satisfactory improvement in appearance and function especially in patients who had tumorous conditions or traumatic epiphyseal arrest.
48
Duma, S. M., P. H. Schreiber, J. D. McMaster, J. R. Crandall, and C. R. Bass. "Fracture tolerance of the male forearm: The effect of pronation versus supination." Proceedings of the Institution of Mechanical Engineers, Part D: Journal of Automobile Engineering 216, no. 8 (2002): 649–54. http://dx.doi.org/10.1177/095440700221600803.
Full textAbstract:
This paper presents the dynamic injury tolerance of the male forearm, derived from dynamic three-point bending tests using ten male cadaver upper extremities. The impact loading conditions were chosen to be representative of those observed during upper extremity interaction with frontal air bags. Using matched forearm pairs, it was determined that the forearm is significantly ( p = 0.01) stronger in the supinated position, 126±13 N m, than in the pronated position, 108 ± 8 N m. Two distinct fracture patterns were seen for the pronated and supinated groups. In the supinated position the average difference in fracture time between the radius and ulna was not significantly different ( p = 0.24); however, the pronated tests yielded an average difference in fracture time that was significantly different ( p = 0.05), with the ulna breaking before the radius in every test. This trend implies that in the pronated position the ulna and radius are loaded independently, while in the supinated position the ulna and radius are loaded together as a combined structure. To produce a conservative injury criterion, only the data from the pronated tests were included for an average failure tolerance of 108 N m. It is anticipated that these data will provide injury reference values for the male forearm during driver air bag loading.
49
FAROOQ, AA, MA KHAN, H. AKBAR, et al. "INCIDENCE OF FRACTURE IN SMALL RUMINANTS: A RETROSPECTIVE STUDY." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 738. http://dx.doi.org/10.54112/bcsrj.v2024i1.738.
Full textAbstract:
The availability of information or data regarding various affections forms a powerful tool for rendering appropriate treatment. The present study was designed to acquire data on fracture in small ruminants. This study will act as a base for policymakers to implement future projects in orthopedics for different species of animals. All the cases of bone affection at the indoor surgery clinic, Department of Veterinary Surgery, the University of Veterinary and Animal Sciences, Lahore, for four years from 2016 to 2019 were enrolled in the study. The diagnosis was based on the clinical history, signs, and clinical examination and by radiograph. Treatment as medicinal or surgical interventions was provided wherever feasible. The data concerning species, sex, age, bone, type of fracture, and cause were compiled and analyzed by using the Chi-Square test. The overall incidence of fracture was found to be 4.47%. Caprine was the most common (96.136%) subject exposed to bone fracture. The fracture incidence was highest between 7 and 12 months of age, 76.40% in goats and 67.857% in sheep. Furthermore, male subjects were more prone to fracture (69.617%) and (15.405%) than females (30.383%), and (6.527%) in goats and sheep, respectively. The metacarpal (43.953%) in goats was affected bone most commonly with fracture, followed by the metatarsal (28.319%), tibia fibula (14.159%), radius–ulna (11.504%), humerus (1.475%), femur (0.590%). While in the case of sheep, metacarpal (40.476%) was followed by metatarsal (22.619%), tibia-fibula (26.190%), and radius–ulna (10.714%). Moreover, in bovines, the overall incidence of fracture was 1.82%. Similarly, in equines, fractures were mostly of radius-ulna (16.66%) and metatarsal (23.33%). The most common site of the fractures was located in the mid-shaft of a bone. Trauma (46.018%) was the most common cause of a fracture in goats, while in sheep, it fell from a height (40.476%). It was concluded that the metacarpal bone fracture was the most common fracture in goats than other animals.
50
Plint, Amy C., Jeffrey J. Perry, and Jennifer L. Y. Tsang. "Pediatric wrist buckle fractures: Should we just splint and go?" CJEM 6, no. 06 (2004): 397–401. http://dx.doi.org/10.1017/s1481803500009386.
Full textAbstract:
ABSTRACT: Objectives: The objective of this study was to evaluate the utility of circumferential casting in the emergency department (ED), orthopedic follow-up visits, and radiographic follow-up in the management of children with wrist buckle fractures. Methods: We performed a retrospective medical record review of all children &lt; 18 years of age who presented to our tertiary care children’s hospital between July 1, 2000, and June 30, 2001, and were diagnosed with a fracture of the wrist, radius or ulna. Based on the radiology reports, we identified buckle fractures of the distal radius, the distal ulna, or both bones. We excluded children who had other types of fractures. Results: We identified 840 children with fractures of the wrist, radius, or ulna. Of these, 309 met our inclusion criteria. The median age of our study cohort was 9.2 years. Emergency physicians immobilized 269 of these fractures in circumferential casts; of these, 30 (11%) had cast complications. Of the 276 subjects who had orthopedic follow-up visits and radiographs, 184 (67%) had multiple visits and 127 (46%) had multiple radiographs performed. No subjects had fracture displacement identified on follow-up. Conclusions: Orthopedic follow-up visits and radiographic follow-up may have minimal utility in the treatment of pediatric wrist buckle fractures. ED casting may pose more risk than benefit for these children. Splinting in the ED with primary care follow-up appears to be a reasonable management strategy for these fractures. A prospective study comparing ED splinting and casting for pediatric wrist buckle fractures is needed.