Radia ulna fracture: Difference between revisions
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*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 | ||
*One of the most common pediatric fractures | |||
==Clinical Features== | ==Clinical Features== | ||
*Pain/swelling, deformity | |||
*Point tenderness | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Forarm fracture DDX}} | {{Forarm fracture DDX}} | ||
==Evaluation== | ==Evaluation== | ||
*Assess distal pulse, motor, and sensation | |||
*Inspect skin for signs of open fracture | |||
===Imaging=== | ===Imaging=== | ||
*Always consider wrist and elbow films | *Always consider wrist and elbow films | ||
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==Disposition== | ==Disposition== | ||
*If splinted and stabilized, can be discharged after consultation with Ortho | |||
*Admit for: | |||
**[[Open fracture]] | |||
**Signs of neurovascular injury | |||
**Concern for [[compartment syndrome]] | |||
==See Also== | ==See Also== | ||
*[[Forearm fractures]] | *[[Forearm fractures]] | ||
==References== | ==References== | ||
<ref>https://www.orthobullets.com/pediatrics/4126/both-bone-forearm-fracture--pediatric</ref> | |||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 06:00, 19 March 2018
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
- Rule-out compartment syndrome
- Often admitted for obs, especially if prolonged reduction
- ORIF
Disposition
- If splinted and stabilized, can be discharged after consultation with Ortho
- Admit for:
- Open fracture
- Signs of neurovascular injury
- Concern for compartment syndrome