Isolated ulna fracture: Difference between revisions
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==Background== | ==Background== | ||
*Also known as a "nightstick" fracture | *Also known as a "nightstick" fracture | ||
**Characteristic defensive fracture sustained when the patient tries to protect themselves from an overhead blow | |||
*Most often due to direct trauma | *Most often due to direct trauma | ||
==Clinical Features== | ==Clinical Features== | ||
*Pain/swelling, deformity | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
*Assess distal pulse, motor, and sensation | |||
*2-view forearm x-ray | *2-view forearm x-ray | ||
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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== | ||
Revision as of 06:08, 19 March 2018
Background
- Also known as a "nightstick" fracture
- Characteristic defensive fracture sustained when the patient tries to protect themselves from an overhead blow
- Most often due to direct trauma
Clinical Features
- Pain/swelling, deformity
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
- 2-view forearm x-ray
Management
- Stable: short arm cast
- Long arm posterior splint with 90 degrees of elbow flexion and the hand in a neutral position
- Unstable: ORIF
- >50% displacement
- >10% angulation
- Involvement of proximal 1/3
Disposition
- If splinted and stabilized, can be discharged after consultation with Ortho
- Admit for:
- Open fracture
- Signs of neurovascular injury
- Concern for compartment syndrome