Radia ulna fracture: Difference between revisions
| Line 14: | Line 14: | ||
==Management== | ==Management== | ||
*Rule-out compartment syndrome | *Rule-out compartment syndrome | ||
**Often admitted for obs, especially if prolonged reduction | |||
*ORIF | *ORIF | ||
Revision as of 10:38, 6 November 2015
Background
- Requires great amount of force (vehicular trauma, falls from height, direct blow)
- Neurovascular complications are unusual
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
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)
Management
- Rule-out compartment syndrome
- Often admitted for obs, especially if prolonged reduction
- ORIF
See Also
Source
- Tintinalli