Radia ulna fracture: Difference between revisions
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*Neurovascular complications are unusual | *Neurovascular complications are unusual | ||
==Imaging== | ==Clinical Features== | ||
==Differential Diagnosis== | |||
{{Forarm fracture DDX}} | |||
==Evaluation== | |||
===Imaging=== | |||
*Always consider wrist and elbow films | *Always consider wrist and elbow films | ||
*Assess for angulation | *Assess for angulation | ||
**AP view: radial styloid and radial tuberosity normally point in opposite directions | **AP view: radial styloid and radial tuberosity normally point in opposite directions | ||
**Lateral view: ulnar styloid and coronoid process normally point in opposite directions | **Lateral view: ulnar styloid and coronoid process normally point in opposite directions | ||
==Management== | ==Management== | ||
*Rule-out compartment syndrome | *Rule-out [[compartment syndrome]] | ||
**Often admitted for obs, especially if prolonged reduction | **Often admitted for obs, especially if prolonged reduction | ||
*ORIF | *ORIF | ||
==Disposition== | |||
==See Also== | ==See Also== | ||
Revision as of 05:53, 10 April 2017
Background
- Requires great amount of force (vehicular trauma, falls from height, direct blow)
- Neurovascular complications are unusual
Clinical Features
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
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
