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Distal Ulna Fracture

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Other Names

  • Ulnar styloid fracture
  • Ulnar head fracture
  • Distal ulnar neck

Background

  • Distal Ulna fractures include
    • Ulnar styloid fracture
    • Ulnar head fracture
    • Distal ulnar neck

Pathophysiology

  • Ulnar styloid fractures
    • Typically a small avulsion fracture
    • Seen in about 60% of distal radius fractures

Risk Factors


Differential Diagnosis


Clinical Features

  • General: Physical Exam Wrist
  • Typically swelling, ecchymosis, deformity
  • Tenderness to palpation of distal ulna

Evaluation

Radiographs

CT scan

  • Important to evaluate intra-articular injuries or for surgical planning

MRI

  • Evaluate for soft tissue injuries

Classification

  • N/A

Management

Nonoperative

  • There is little scientific support to guide the management of distal ulnar fractures[1]
  • Most distal ulna fractures can be managed nonoperatively
  • Splint: Ulnar Gutter Splint
  • Cast: Ulnar Gutter Cast

Operative

  • Indications
    • Open
    • Unstable
    • Other co-occurring

Return to Play

  • Needs to be updated

Complications


See Also


References

  1. Logan AJ, Lindau TR. The management of distal ulnar fractures in adults: a review of the literature and recommendations for treatment. Strategies Trauma Limb Reconstr. 2008 Sep;3(2):49-56. doi: 10.1007/s11751-008-0040-1. Epub 2008 Sep 3. PubMed PMID: 18766429; PubMed Central PMCID: PMC2553431.
Created by:
John Kiel on 18 June 2019 22:59:29
Authors:
Last edited:
13 October 2022 21:41:08
Categories:
Trauma | Osteology | Wrist | Upper Extremity | Fractures | Acute