Ulnar bone fracture natural history, complications and prognosis: Difference between revisions
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== 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. | 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="pmid27454628">{{cite journal |vauthors=Kim JK, Kim JO, Koh YD |title=Management of Distal Ulnar Fracture Combined with Distal Radius Fracture |journal=J Hand Surg Asian Pac Vol |volume=21 |issue=2 |pages=155–60 |date=June 2016 |pmid=27454628 |doi=10.1142/S2424835516400075 |url=}}</ref><ref name="pmid28882374">{{cite journal |vauthors=Yuan C, Zhang H, Liu H, Gu J |title=Does concomitant ulnar styloid fracture and distal radius fracture portend poorer outcomes? A meta-analysis of comparative studies |journal=Injury |volume=48 |issue=11 |pages=2575–2581 |date=November 2017 |pmid=28882374 |doi=10.1016/j.injury.2017.08.061 |url=}}</ref><ref name="pmid28583055">{{cite journal |vauthors=Paksima N, Khurana S, Soojian M, Patel V, Egol K |title=Fracture of the Distal Ulna Metaphysis in the Setting of Distal Radius Fractures |journal=Bull Hosp Jt Dis (2013) |volume=75 |issue=2 |pages=104–108 |date=April 2017 |pmid=28583055 |doi= |url=}}</ref>. | ||
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: |
Revision as of 16:35, 9 November 2018
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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 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[1][2][3].
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[4].
References
- ↑ Kim JK, Kim JO, Koh YD (June 2016). "Management of Distal Ulnar Fracture Combined with Distal Radius Fracture". J Hand Surg Asian Pac Vol. 21 (2): 155–60. doi:10.1142/S2424835516400075. PMID 27454628.
- ↑ Yuan C, Zhang H, Liu H, Gu J (November 2017). "Does concomitant ulnar styloid fracture and distal radius fracture portend poorer outcomes? A meta-analysis of comparative studies". Injury. 48 (11): 2575–2581. doi:10.1016/j.injury.2017.08.061. PMID 28882374.
- ↑ Paksima N, Khurana S, Soojian M, Patel V, Egol K (April 2017). "Fracture of the Distal Ulna Metaphysis in the Setting of Distal Radius Fractures". Bull Hosp Jt Dis (2013). 75 (2): 104–108. PMID 28583055.
- ↑ 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.