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="pmid28303286">{{cite journal |vauthors=Gierer P, Wichelhaus A, Rotter R |title=[Fractures of the olecranon] |language=German |journal=Oper Orthop Traumatol |volume=29 |issue=2 |pages=107–114 |date=April 2017 |pmid=28303286 |doi=10.1007/s00064-017-0490-z |url=}}</ref><ref name="pmid28664232">{{cite journal |vauthors=Siebenlist S, Braun KF |title=[Elbow dislocation fractures] |language=German |journal=Unfallchirurg |volume=120 |issue=7 |pages=595–610 |date=July 2017 |pmid=28664232 |doi=10.1007/s00113-017-0373-7 |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: | ||
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* Vascular bleeding | * Vascular bleeding | ||
* Re-fracture | * Re-fracture | ||
* Decreased Motion | * Decreased Motion | ||
* Painful movement | * Painful movement |
Revision as of 10:59, 12 November 2018
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VascularEditor-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].
In general the following are the most common complications of ulnar bone fracture:
- Infection of the bone
- Infection of soft tissue
- Compartment syndrome
- Non-union of the fracture
- Mal-union
- Arm shortening
- Radial nerve Damage
- Vascular injury
- Vascular bleeding
- Re-fracture
- Decreased Motion
- 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.
References
- ↑ Gierer P, Wichelhaus A, Rotter R (April 2017). "[Fractures of the olecranon]". Oper Orthop Traumatol (in German). 29 (2): 107–114. doi:10.1007/s00064-017-0490-z. PMID 28303286.
- ↑ Siebenlist S, Braun KF (July 2017). "[Elbow dislocation fractures]". Unfallchirurg (in German). 120 (7): 595–610. doi:10.1007/s00113-017-0373-7. PMID 28664232.