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Radius Ulna Fracture

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Other Names

  • Both-bone fractures
  • Both bone fractures
  • Diaphyseal Fractures of the Radius and Ulna
  • Double-bone Fractures

Background

  • Fracture pattern in which there is a diaphyseal fracture of both the Radius and Ulna

History

Epidemiology

  • Men > Women

Pathophysiology

  • Mechanism
  • Direct trauma (defensive)
  • Indirecet trauma (MVC, fall, sports)

Pathoanatomy

Associated Injuries


Risk Factors

  • Unknown

Differential Diagnosis


Clinical Features

  • General: Physical Examination Forearm
  • History
    • Will universally include some form of trauma
  • Physical Exam
    • Gross deformity, swelling, ecchymosis
    • Tenderness to palpation
    • Emphasis on neurovascular examination
    • Evaluate skin for open fracture

Evaluation

  • Radiographs
    • 3 view standard, minimal 2 view of forearm
    • Must get wrist and elbow views as well
    • Additional views: oblique forearm

Classification

  • AO/OTA
    • Fracture type: A (simple), B (wedge), C (complex)
    • Involved bones: 1 (ulna), 2 (radius), 3 (both bones)
    • E.g.: simple ulna fracture (A1), wedge both bones (B3)

Management

Nonoperative

  • Both bone fractures are generally surgical and decision making should be made with an orthopedic surgeon
  • Immediate reduction, splinting should be performed in the emergency department[1]

Operative

  • Technique
    • Open reduction, internal fixation

Return to Play

  • Highly variable, minimum 6 weeks of healing
  • Requires post-op physical therapy

Complications


See Also


References


  1. Moss, Joshua P., and Donald K. Bynum. "Diaphyseal fractures of the radius and ulna in adults." Hand clinics 23.2 (2007): 143-151.
Created by:
John Kiel on 4 July 2019 07:11:24
Authors:
Last edited:
31 October 2020 00:05:52
Categories:
Trauma | Osteology | Wrist | Elbow | Forearm | Upper Extremity | Fractures | Acute