Radia ulna fracture

Background

  • Requires great amount of force (vehicular trauma, falls from height, direct blow)
  • Neurovascular complications are unusual
  • One of the most common pediatric fractures

Clinical Features

  • Pain/swelling, deformity
  • Point tenderness

Differential Diagnosis

Forearm Fractures

Evaluation

  • Assess distal pulse, motor, and sensation
  • Inspect skin for signs of open fracture

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

Disposition

See Also

References

[1]