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The management of distal ulnar fractures in adults: a review of the literature and recommendations for treatment.

Logan AJ, Lindau TR - Strategies Trauma Limb Reconstr (2008)

Bottom Line: The distal ulna represents the fixed point around which the radius and the hand acts in daily living.The significance of distal ulnar fractures is often not appreciated and often results in inadequate treatment in comparison to its larger counterpart; the radius.This paper aims to critically review the current literature and combine it with treatment suggestions based on the experience of the authors to help guide investigation and management of these often complex injuries.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, UK, andrewj.logan@btinternet.com.

ABSTRACT
The distal ulna represents the fixed point around which the radius and the hand acts in daily living. The significance of distal ulnar fractures is often not appreciated and often results in inadequate treatment in comparison to its larger counterpart; the radius. There is little guidance in the current literature as how to manage these fractures and their associated injuries. This paper aims to critically review the current literature and combine it with treatment suggestions based on the experience of the authors to help guide investigation and management of these often complex injuries.

No MeSH data available.


Related in: MedlinePlus

Unstable DRU joint after an ulnar styloid base fracture nonunion
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Fig6: Unstable DRU joint after an ulnar styloid base fracture nonunion

Mentions: The incidence of ulnar styloid fracture nonunion is between 26% [15] and 63% [14]. Of these only around 14% of patients have ulnar sided wrist pain [17]. There are a number of reasons why a non-united ulnar styloid fracture can become symptomatic: It can be responsible for a non-functioning ulno-radial ligament (peripheral TFCC detachment) [27] (Fig. 6), cause impingement of the overlying ECU tendon [28], abut on the carpus [27, 29] (Fig. 7) or be an irritative loose body [27] (Fig. 8). A constant physical finding in these patients is an ulnar sided wrist pain worse with wrist use and loading in rotation, combined with tenderness over the ulnar styloid [27]. Patients with ulnar styloid fractures at the base that malunite in a displaced position or go on to nonunion may develop DRU-joint instability. Tsukazaki et al. [30] identified that most patients with DRU-joint instability had a nonunion of an ulnar styloid fracture (13 out of 17).Fig. 6


The management of distal ulnar fractures in adults: a review of the literature and recommendations for treatment.

Logan AJ, Lindau TR - Strategies Trauma Limb Reconstr (2008)

Unstable DRU joint after an ulnar styloid base fracture nonunion
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2553431&req=5

Fig6: Unstable DRU joint after an ulnar styloid base fracture nonunion
Mentions: The incidence of ulnar styloid fracture nonunion is between 26% [15] and 63% [14]. Of these only around 14% of patients have ulnar sided wrist pain [17]. There are a number of reasons why a non-united ulnar styloid fracture can become symptomatic: It can be responsible for a non-functioning ulno-radial ligament (peripheral TFCC detachment) [27] (Fig. 6), cause impingement of the overlying ECU tendon [28], abut on the carpus [27, 29] (Fig. 7) or be an irritative loose body [27] (Fig. 8). A constant physical finding in these patients is an ulnar sided wrist pain worse with wrist use and loading in rotation, combined with tenderness over the ulnar styloid [27]. Patients with ulnar styloid fractures at the base that malunite in a displaced position or go on to nonunion may develop DRU-joint instability. Tsukazaki et al. [30] identified that most patients with DRU-joint instability had a nonunion of an ulnar styloid fracture (13 out of 17).Fig. 6

Bottom Line: The distal ulna represents the fixed point around which the radius and the hand acts in daily living.The significance of distal ulnar fractures is often not appreciated and often results in inadequate treatment in comparison to its larger counterpart; the radius.This paper aims to critically review the current literature and combine it with treatment suggestions based on the experience of the authors to help guide investigation and management of these often complex injuries.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, UK, andrewj.logan@btinternet.com.

ABSTRACT
The distal ulna represents the fixed point around which the radius and the hand acts in daily living. The significance of distal ulnar fractures is often not appreciated and often results in inadequate treatment in comparison to its larger counterpart; the radius. There is little guidance in the current literature as how to manage these fractures and their associated injuries. This paper aims to critically review the current literature and combine it with treatment suggestions based on the experience of the authors to help guide investigation and management of these often complex injuries.

No MeSH data available.


Related in: MedlinePlus