If there is smoke, there must be fire – Isolated distal, non-displaced, intraarticular ulna fracture: A case report

Abstract

Highlights Isolated distal ulna styloid fractures are a rarity. Timely diagnosis and appropriate therapy reduce posttraumatic morbidity. High level of suspicion should be maintained in the presence of nonspecific pain, even if the initial X-ray is inconspicuous.

Isolated intraarticular fracture of distal ulna: Case report of a rare injury

“…Some authors argue that in cases of instability or when the patient continues to experience pain, an MRI should be requested to assess the existence of triangular fibrocartilage complex (TFCC) injury. To date, there are very few published cases (Only six cases as of April 2022 according to our research) [1][2][3][4][5][6] , and the incidence of this type of fracture is not well-documented.…”

“…Among the published cases, the treatments included open reduction and fixation with cannulated compression screws in two cases, closed reduction and fixation with Kirschner wires in two cases, open reduction and fixation with Herbert screws in one case, and conservative treatment with immobilization in one case. In all cases there was a period of immobilization that varied in duration (Minimum 10 days, maximum 6 weeks and average 4,4 weeks), type of immobilization (cast, brace or splint; above or below the elbow) (1)(2)(3)(4)(5)(6). Given the absence of references in the literature and a lack of consensus on the therapeutic approach in such cases, we opted for an extended immobilization period (Possibly a shorter period of 3-4 weeks would be sufficient).…”