Treatment of Unstable Distal Ulna Fractures Associated With Distal Radius Fractures in Patients 65 Years and Older

Min, Soo; Shin, Hyun Dae; Kim, Kyung-Cheon; Park, Eugene

doi:10.1016/j.jhsa.2012.07.031

Cited by 31 publications

(38 citation statements)

References 25 publications

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“…The mean range of motion in that study was 60° in wrist extension and 67° in wrist flexion. In other reports of distal ulnar fractures with distal radial fracture, the delayed or nonunion rate was 0% to 7%, and ulnar pain or discomfort due to plate prominence, hardware irritation, or ulnar nerve damage occurred in 29% to 40% (Cha et al, 2012; Dennison, 2007). Though a simple comparison is difficult because of different conditions of the fracture, our results are superior regarding the range of motion, delayed union, and presence of ulnar pain.…”

mentioning

confidence: 83%

“…This study showed good results for isolated ulnar neck fractures with early rotational mobilization of the forearm. Surgical treatment of the distal ulna sometimes leads to delayed union and can be complicated by ulnar wrist pain due to hardware irritation or damage to the superficial branch of the ulnar nerve (Cha et al, 2012; Dennison, 2007; Kang et al, 2002). Kang et al treated 10 patients with isolated ulnar neck fractures surgically.…”

mentioning

confidence: 99%

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Conservative treatment for isolated ulnar neck fractures with early motion of the forearm in a cast

Suzuki

Hagiwara

Suzuki

2016

J Hand Surg Eur Vol

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confidence: 83%

mentioning

confidence: 99%

Conservative treatment for isolated ulnar neck fractures with early motion of the forearm in a cast

Suzuki

Hagiwara

Suzuki

2016

J Hand Surg Eur Vol

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“…Surgical indications include displacement over 50%, inclination over 10º, comminuted fractures, intra-articular fractures, instability, and high-energy injuries. [4][5][6] All patients were women with a mean age of 70 years (range, 58 to 89 years). The mean follow-up period was 26.6 weeks (range, 7.7 to 62.1 weeks).…”

Section: Techniquementioning

confidence: 99%

Intramedullary Stabilization Technique Using Headless Compression Screws for Distal Ulnar Fractures

Park

2020

Clin Orthop Surg

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Distal ulnar neck fractures are commonly accompanied by distal radial fractures. 1) The incidence of isolated distal ulnar fractures is lower than that of distal radial fractures, and the optimal treatment remains controversial. Once the fixation of a distal radial fracture is done and the distal ulna is reduced, fixation of the distal ulnar fracture itself could be unnecessary, but if displacement remains, functional problems in the distal radioulnar joint can occur. 2,3) Thus, surgical fixation is necessary if displacement or instability remains. Plate osteosynthesis and pinning are widely used for distal ulnar fractures. 4) The same techniques are often performed to treat ulnar fractures combined with radial fractures. To reduce the operation time, we devised a intramedullary fixation technique using a headless compression screw, which is a simple and minimally invasive technique that requires a small skin incision.

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“…In other studies, reporting operations for distal ulnar fractures with a distal radius fracture (mainly ulnar styloid fractures or ulnar neck fractures), ulnar wrist pain due to hardware irritation, or damage to the superficial branch of the ulnar nerve occurred in 29 to 40% of cases. 8,9 Usefully, conservative treatment avoids these complications.…”

Section: Introductionmentioning

confidence: 99%

Conservative Treatment of an Intra-Articular Shear Fracture of the Ulnar Head

et al. 2019

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Background Isolated intra-articular fracture of the ulnar head is rare. Case Description A 59-year-old woman experienced an ulnar head fracture involving the distal radioulnar joint after a fall at ground level. The intra-articular fragment of the ulnar head was rotated into anatomical alignment with an above-elbow cast in 90° of supination for 4 weeks. A below-elbow night splint was retained for 2 additional weeks. Twelve months post-injury, full active motion and bone union were achieved. Literature Review Only three studies have reported treatment of isolated intra-articular ulnar head fractures, and in all cases open reduction and internal fixation were performed. Clinical Relevance Our report demonstrated good results for the conservative treatment of an intra-articular ulnar head shear fracture, with early recovery of forearm rotation and wrist function.

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Treatment of Unstable Distal Ulna Fractures Associated With Distal Radius Fractures in Patients 65 Years and Older

Cited by 31 publications

References 25 publications

Conservative treatment for isolated ulnar neck fractures with early motion of the forearm in a cast

Conservative treatment for isolated ulnar neck fractures with early motion of the forearm in a cast

Intramedullary Stabilization Technique Using Headless Compression Screws for Distal Ulnar Fractures

Conservative Treatment of an Intra-Articular Shear Fracture of the Ulnar Head

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