Ulnar fracture history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].
Overview
The Nondisplaced diaphyseal fractures of the shafts of ulna is rare, and its deformity is often obvious, with the patient supporting the deformed and injured limb with the other hand. Also, the orthopedic surgeon should consider a careful neurological evaluation of the motor and sensory functions of the radial, median, and ulnar nerves. The Ulnar Bone Fractures might be very painful, causing difficulties in moving the arm or elbow[1][2][3][4][5].
Symptoms and physical exam
The related signs and symptoms include[6][7]:
- Severe pain at the site of the injury
- Bruising
- Swelling
- Stiffness
- Inability to move
- Tenderness in touch
- Deformity
- Loss of function of the forearm
In the physical exam the orthopedic surgeon should check the vascular status and amount of swelling in the forearm. In polytrauma patients or in comatose or obtunded patients a tense compartment with neurological signs or stretch pain should be considered as the compartment syndrome, and the compartment pressures should be measured and monitored.
References
- ↑ McAuliffe JA (January 2012). "Isolated diaphyseal fractures of the ulna". J Hand Surg Am. 37 (1): 145–7. doi:10.1016/j.jhsa.2011.05.005. PMID 21658858.
- ↑ Hart ES, Turner A, Albright M, Grottkau BE (2011). "Common pediatric elbow fractures". Orthop Nurs. 30 (1): 11–7, quiz 18–9. doi:10.1097/NOR.0b013e31820574c6. PMID 21278549.
- ↑ Zermatten P, Wettstein M (February 2011). "[Combination of ulnar head fracture with undisplaced radial neck fracture: case report and review of the literature]". Handchir Mikrochir Plast Chir (in German). 43 (1): 57–9. doi:10.1055/s-0030-1268481. PMID 21225546.
- ↑ Zyluk A, Mazur A (2010). "[Does fracture of the ulnar styloid accompanying fracture of the distal radius influence final outcome of the treatment? A review]". Chir Narzadow Ruchu Ortop Pol (in Polish). 75 (3): 183–8. PMID 21038638.
- ↑ Youlden DJ, Sundaraj K, Smithers C (October 2018). "Volar locking plating versus percutaneous Kirschner wires for distal radius fractures in an adult population: a meta-analysis". ANZ J Surg. doi:10.1111/ans.14903. PMID 30354018.
- ↑ Athwal GS, Ramsey ML, Steinmann SP, Wolf JM (2011). "Fractures and dislocations of the elbow: a return to the basics". Instr Course Lect. 60: 199–214. PMID 21553774.
- ↑ Diaz-Garcia RJ, Oda T, Shauver MJ, Chung KC (May 2011). "A systematic review of outcomes and complications of treating unstable distal radius fractures in the elderly". J Hand Surg Am. 36 (5): 824–35.e2. doi:10.1016/j.jhsa.2011.02.005. PMC 3093102. PMID 21527140.