View source for Isolated ulna fracture

==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==
{{Forarm fracture DDX}}

==Evaluation==
*Assess distal pulse, motor, and sensation
*2-view forearm x-ray

==Management==
{{General Fracture Management}}

===Immobilization===
*[[Splint]]

==Disposition==
*If splinted and stabilized, can be discharged after consultation with Ortho 
*Admit for:
**[[Open fracture]]
**Signs of neurovascular injury
**Concern for [[compartment syndrome]]

===Specialty Care===
*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

==See Also==
*[[Forearm Fracture]]

==References==
<references/>


[[Category:Orthopedics]]