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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

Reattachment of a large ulnar styloid fracture nonunion with associated DRU joint instability
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Fig9: Reattachment of a large ulnar styloid fracture nonunion with associated DRU joint instability

Mentions: Treatment of an ulnar styloid nonunion should be considered if patients are symptomatic and/or have DRU-joint instability [27]. The ulnar styloid nonunion should be treated as a bony nonunion and be reattached to the ulnar head if the fragment is large [27], [28] (Fig. 9). If the fragment is small, it should be shelled out and the ulno-radial ligament should be reattached directly to the fovea of the ulnar head [27]. Patients treated in this way have been reported to have good to excellent results [27, 28]. If there is no DRU-joint instability the ulnar styloid can be shelled out without any associated ligament procedure [21, 27, 31]. This can relieve localised pain without causing instability [31]. It is then important to re-test the stability of the DRU-joint.Fig. 9


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)

Reattachment of a large ulnar styloid fracture nonunion with associated DRU joint instability
© Copyright Policy
Related In: Results  -  Collection

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

Fig9: Reattachment of a large ulnar styloid fracture nonunion with associated DRU joint instability
Mentions: Treatment of an ulnar styloid nonunion should be considered if patients are symptomatic and/or have DRU-joint instability [27]. The ulnar styloid nonunion should be treated as a bony nonunion and be reattached to the ulnar head if the fragment is large [27], [28] (Fig. 9). If the fragment is small, it should be shelled out and the ulno-radial ligament should be reattached directly to the fovea of the ulnar head [27]. Patients treated in this way have been reported to have good to excellent results [27, 28]. If there is no DRU-joint instability the ulnar styloid can be shelled out without any associated ligament procedure [21, 27, 31]. This can relieve localised pain without causing instability [31]. It is then important to re-test the stability of the DRU-joint.Fig. 9

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