The treatment of isolated fractures of the ulnar shaft in adults

Corea, J. R.; Brakenbury, P.H.; Blakemore, M.E.

doi:10.1016/0020-1383(81)90004-8

Cited by 39 publications

(26 citation statements)

References 11 publications

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“…The present data suggest that fracture angulation (!88) determines the incidence of healing disturbances; thus, it can be recognised as an equivalent of instability. Fracture displacement at injury has been previously described as a contributing factor for the development of NU [5], which is contrary to the present and other's findings [29]. It remains controversial and should be further investigated.…”

Section: Treatmentcontrasting

confidence: 71%

“…Displacement above 50% has been identified as unstable; thus, operative fixation has been advocated. Others indicated operative treatment in proximal-third fractures, displacement of !25% of the shaft width, or angulation of !158 [29]. However, there are no absolute indications for operative treatment.…”

Section: Treatmentmentioning

confidence: 89%

“…Intramedullary nailing and plate fixation are common operative treatment methods providing healing in due time in about 95% [5,20]. Improved functional outcome has been reported after operative fixation [29], and comparable results have been shown for K-wire and plate fixation [19]. The 3.5-mm AO system has been recommended for fixation of diaphyseal forearm fractures, as 4.5-mm AO plates and screw system were found to be associated with increased refracture rates [35].…”

Section: Treatmentmentioning

confidence: 95%

“…Treatment stratification continues to be controversial. The influencing factors are injury mechanism, fracture pattern and morphology (location, displacement, angulation), and AIs [3,9,14,22,29,31,33]. Operative as well as conservative treatment has shown good results [1,10,18,19].…”

Section: Treatmentmentioning

confidence: 99%

“…Fracture location was discriminated into equal proportions of the ulnar diaphysis in the proximal, middle, and distal thirds [29].…”

Section: Radiographic Analysismentioning

confidence: 99%

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Results of 70 consecutive ulnar nightstick fractures

Coulibaly

Jones

Sietsema

et al. 2015

Injury

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Section: Treatmentcontrasting

confidence: 71%

Section: Treatmentmentioning

confidence: 89%

Section: Treatmentmentioning

confidence: 95%

Section: Treatmentmentioning

confidence: 99%

“…Fracture location was discriminated into equal proportions of the ulnar diaphysis in the proximal, middle, and distal thirds [29].…”

Section: Radiographic Analysismentioning

confidence: 99%

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Results of 70 consecutive ulnar nightstick fractures

Coulibaly

Jones

Sietsema

et al. 2015

Injury

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Angular deformities and forearm function

Sarmiento

Ebramzadeh

Brys

et al. 1992

Journal Orthopaedic Research

106

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Angular deformities were created in cadaver forearms at proximal, middle, and distal third levels of the radius and ulna separately, and at middle and distal third levels of both bones, to determine the corresponding limitations of pronation and supination. The ranges of pronation and supination were recorded using a rotational motion measurement apparatus instrumented with a 360 degrees goniometer. These experimental results were compared to data obtained from clinical and radiographic examination of 105 patients with similar residual deformities following treatment of fractures by nonsurgical means, to evaluate the accuracy of the experimental model and to determine if loss of rotational motion could be predicted based on radiographic findings. With cadaver forearms, on the average, angulation of 10 degrees of the radius or ulna in coronal or sagittal planes limited pronation and supination by less than 24 degrees, whereas angulation of 10 degrees of both the radius and the ulna limited pronation and supination by less than 18%. Comparison of experimental results with clinical findings showed that, despite the errors involved in measuring forearm deformities in patients using biplanar radiographs, the experimental results predicted the clinical loss of pronation and supination to within 17% for the fractures of the radius, and within 8% accuracy for the fractures of the ulna.

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