Forearm fracture: Difference between revisions

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**Fractures usually occur at two or more sites or also involve a ligamentous injury
**Fractures usually occur at two or more sites or also involve a ligamentous injury


==[[Radia Ulna Fracture]]==
==Clinical Features==
===Background===
*Requires great amount of force (vehicular trauma, falls from height, direct blow)
*Neurovascular complications are unusual


===Imaging===
==Types==
*Always consider wrist and elbow films
{{Forarm fracture DDX}}
*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===
[[File:Galeazzi fx.jpeg|thumb|[[Galeazzi fracture-dislocation]]]]
*Rule-out compartment syndrome
*ORIF


==[[Isolated Radius Fracture (Proximal)]]==
==Evaluation==
===Background===
*[[Distal radius x-ray]]
*Rare
*When occur, most are displaced
*Compartment syndrome is rare


===Management===
==Management==
*Nondisplaced: cast immobilization
*Displaced: Internal fixation


==[[Isolated Ulna (Nightstick)]]==
==Disposition==
===Background===
*Most often due to direct trauma
 
===Management===
*Stable: short arm cast
*Unstable: ORIF
**>50% displacement
**>10% angulation
**Involvement of proximal 1/3
 
==[[Monteggia Fracture-Dislocation]]==
===Background===
*Ulna fx (proximal third) + radial head dislocation
*Easy to overlook the radial head dislocation (will result in worse outcome)
 
===Clinical Features===
*Pain/swelling at elbow
*Radial head may be palpable in an anterolatera or posterolateral location
 
===Management===
*Consult ortho in the ED; likely requires ORIF
 
==[[Galeazzi Fracture-Dislocation]]==
===Background===
*Radius fx (distal third) + distal radioulnar dislocation
*Caused by FOOSH or direct blow
 
===Clinical Features===
*Localized tenderness/swelling over distal radius/wrist
 
===Diagnosis===
*PA: May only show slightly increased distal radioulnar joint space
*Lateral: Ulna is displaced dorsally
 
===Management===
*Consult ortho in the ED; likely requires ORIF


==See Also==
==See Also==
[[Fracture (Main)]]
*[[Fracture (Main)]]
 
*[[Forearm fracture (peds)]]
==Source==
*Tintinalli


[[Category:Ortho]]
==References==
<references/>
[[Category:Orthopedics]]

Revision as of 17:01, 13 July 2017