Radia ulna fracture: Difference between revisions
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==Background== | ==Background== | ||
{{Forearm anatomy}} | |||
*Requires great amount of force (vehicular trauma, falls from height, direct blow) | *Requires great amount of force (vehicular trauma, falls from height, direct blow) | ||
*Neurovascular complications are unusual | *Neurovascular complications are unusual | ||
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==Evaluation== | ==Evaluation== | ||
[[File:FracRadUlnaMark.png|thumb|Midshaft fracture of the radius and ulna.]] | |||
*Assess distal pulse, motor, and sensation | *Assess distal pulse, motor, and sensation | ||
*Inspect skin for signs of open fracture | *Inspect skin for signs of open fracture | ||
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==Management== | ==Management== | ||
{{General Fracture Management}} | |||
* | ===Immobilization=== | ||
*Splint | |||
==Disposition== | ==Disposition== | ||
*If splinted and stabilized, can be discharged | *If splinted and stabilized, can be discharged with orthopedic followup | ||
*Admit for: | *Admit for: | ||
**[[Open fracture]] | **[[Open fracture]] | ||
**Signs of neurovascular injury | **Signs of neurovascular injury | ||
**Concern for [[compartment syndrome]] | **Concern for [[compartment syndrome]] | ||
===Specialty Care=== | |||
*Frequently ORIF | |||
==See Also== | ==See Also== | ||
*[[Forearm fractures]] | *[[Forearm fractures]] | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Latest revision as of 00:46, 18 November 2021
Background
- Requires great amount of force (vehicular trauma, falls from height, direct blow)
- Neurovascular complications are unusual
- One of the most common pediatric fractures
Clinical Features
- Pain/swelling, deformity
- Point tenderness
Differential Diagnosis
Forearm Fracture Types
- Distal radius fractures
- Radia ulna fracture
- Isolated radius fracture (proximal)
- Isolated ulna fracture (i.e. nightstick)
- Monteggia fracture-dislocation
- Galeazzi fracture-dislocation
- Forearm fracture (peds)
Evaluation
- Assess distal pulse, motor, and sensation
- Inspect skin for signs of open fracture
Imaging
- Always consider wrist and elbow films
- Assess for angulation
- AP view: radial styloid and radial tuberosity normally point in opposite directions
- Lateral view: ulnar styloid and coronoid process normally point in opposite directions
Management
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Immobilization
- Splint
Disposition
- If splinted and stabilized, can be discharged with orthopedic followup
- Admit for:
- Open fracture
- Signs of neurovascular injury
- Concern for compartment syndrome
Specialty Care
- Frequently ORIF