Ulnar bone fracture natural history, complications and prognosis: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 8: Line 8:


== Complication ==
== Complication ==
The type and frequency of complications of the [[ulnar fracture]] varies.  Its been reported that the  [[ulnar fracture]] related complication and post-traumatic arthritis  rates are 6% - 80% and  7% -65%, respectively.  Malunion with an intra-articular or extra-articular deformity non-union, tendon attrition/rupture complications and neurological injuries are the most frequent complication in this regard<ref name="pmid25657938">{{cite journal |vauthors=Meena S, Sharma P, Sambharia AK, Dawar A |title=Fractures of distal radius: an overview |journal=J Family Med Prim Care |volume=3 |issue=4 |pages=325–32 |date=2014 |pmid=25657938 |pmc=4311337 |doi=10.4103/2249-4863.148101 |url=}}</ref><ref name="pmid22385459">{{cite journal |vauthors=Stitgen A, McCarthy JJ, Nemeth BA, Garrels K, Noonan KJ |title=Ulnar fracture with late radial head dislocation: delayed Monteggia fracture |journal=Orthopedics |volume=35 |issue=3 |pages=e434–7 |date=March 2012 |pmid=22385459 |doi=10.3928/01477447-20120222-35 |url=}}</ref><ref name="pmid22018474">{{cite journal |vauthors=Wysocki RW, Ruch DS |title=Ulnar styloid fracture with distal radius fracture |journal=J Hand Surg Am |volume=37 |issue=3 |pages=568–9 |date=March 2012 |pmid=22018474 |doi=10.1016/j.jhsa.2011.08.035 |url=}}</ref>.
The type and frequency of complications of the [[ulnar fracture]] varies.  Its been reported that the  [[ulnar fracture]] related complication and post-traumatic arthritis  rates are 6% - 80% and  7% -65%, respectively.  Malunion with an intra-articular or extra-articular deformity non-union, tendon attrition/rupture complications and neurological injuries are the most frequent complication in this regard.


In general the following are the most common complications of ulnar bone fracture:
In general the following are the most common complications of ulnar bone fracture:
 
* Decreased Motion
Decreased Motion
* Non-Healing Fracture
Non-Healing Fracture
* Infection
Infection
* Painful movement
Painful movement
 


== Prognosis ==
== Prognosis ==
The prognosis of [[ulnar fracture]] is more guarded for open fractures of the shaft of the ulna with major skin and soft-tissue loss. In these patients, several operative procedures may be necessary, including initial debridement and stabilization, skin grafting, pedicle or free-flap applications, late reconstruction of the bones, and, frequently, tendon transfers<ref name="pmid25657938">{{cite journal |vauthors=Meena S, Sharma P, Sambharia AK, Dawar A |title=Fractures of distal radius: an overview |journal=J Family Med Prim Care |volume=3 |issue=4 |pages=325–32 |date=2014 |pmid=25657938 |pmc=4311337 |doi=10.4103/2249-4863.148101 |url=}}</ref><ref name="pmid21963158">{{cite journal |vauthors=Manidakis N, Sperelakis I, Hackney R, Kontakis G |title=Fractures of the ulnar coronoid process |journal=Injury |volume=43 |issue=7 |pages=989–98 |date=July 2012 |pmid=21963158 |doi=10.1016/j.injury.2011.08.030 |url=}}</ref><ref name="pmid21713726">{{cite journal |vauthors=Siebenlist S, Schmidt-Horlohé K, Hoffmann R, Stöckle U, Lucke M |title=[Proximal ulna fractures] |language=German |journal=Z Orthop Unfall |volume=149 |issue=3 |pages=e1–e19 |date=June 2011 |pmid=21713726 |doi=10.1055/s-0030-1271144 |url=}}</ref>.
The prognosis of [[ulnar fracture]] is more guarded for open fractures of the shaft of the ulna with major skin and soft-tissue loss. In these patients, several operative procedures may be necessary, including initial debridement and stabilization, skin grafting, pedicle or free-flap applications, late reconstruction of the bones, and, frequently, tendon transfers<ref name="pmid25657938">{{cite journal |vauthors=Meena S, Sharma P, Sambharia AK, Dawar A |title=Fractures of distal radius: an overview |journal=J Family Med Prim Care |volume=3 |issue=4 |pages=325–32 |date=2014 |pmid=25657938 |pmc=4311337 |doi=10.4103/2249-4863.148101 |url=}}</ref>.


== References ==
== References ==
<references />

Revision as of 16:31, 9 November 2018

Ulnar bone fracture Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Ulnar bone fracture from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Ulnar bone fracture natural history, complications and prognosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Ulnar bone fracture natural history, complications and prognosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Ulnar bone fracture natural history, complications and prognosis

CDC on Ulnar bone fracture natural history, complications and prognosis

Ulnar bone fracture natural history, complications and prognosis in the news

Blogs on Ulnar bone fracture natural history, complications and prognosis

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Ulnar bone fracture natural history, complications and prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2] ;

Overview

The prognosis ulnar fracture depends on many factors. However, the factors under the orthopedics surgeons control are: treatment method, timing of internal fixation in open fractures, soft-tissue handling, and restoration of osseous anatomy.

Complication

The type and frequency of complications of the ulnar fracture varies. Its been reported that the ulnar fracture related complication and post-traumatic arthritis rates are 6% - 80% and 7% -65%, respectively. Malunion with an intra-articular or extra-articular deformity non-union, tendon attrition/rupture complications and neurological injuries are the most frequent complication in this regard.

In general the following are the most common complications of ulnar bone fracture:

  • Decreased Motion
  • Non-Healing Fracture
  • Infection
  • Painful movement

Prognosis

The prognosis of ulnar fracture is more guarded for open fractures of the shaft of the ulna with major skin and soft-tissue loss. In these patients, several operative procedures may be necessary, including initial debridement and stabilization, skin grafting, pedicle or free-flap applications, late reconstruction of the bones, and, frequently, tendon transfers[1].

References

  1. Meena S, Sharma P, Sambharia AK, Dawar A (2014). "Fractures of distal radius: an overview". J Family Med Prim Care. 3 (4): 325–32. doi:10.4103/2249-4863.148101. PMC 4311337. PMID 25657938.