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Radia ulna fracture
From WikEM
Contents
Background
- Requires great amount of force (vehicular trauma, falls from height, direct blow)
- Neurovascular complications are unusual
Clinical Features
Differential Diagnosis
Forearm Fractures
- Distal radius fractures
- Radia ulna fracture
- Isolated radius fracture (proximal)
- Isolated ulna fracture (i.e. nightstick)
- Monteggia fracture-dislocation
- Galeazzi fracture-dislocation
- Forearm fracture (peds)
Evaluation
Imaging
- Always consider wrist and elbow films
- Assess for angulation
- AP view: radial styloid and radial tuberosity normally point in opposite directions
- Lateral view: ulnar styloid and coronoid process normally point in opposite directions
Management
- Rule-out compartment syndrome
- Often admitted for obs, especially if prolonged reduction
- ORIF
Disposition
See Also
References
Authors
Ross Donaldson, Jonathan Snyder, Neil Young, Daniel Ostermayer
