Radia ulna fracture

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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

  • If splinted and stabilized, can be discharged after consultation with Ortho
  • Admit for:

See Also

References

[1]

  1. https://www.orthobullets.com/pediatrics/4126/both-bone-forearm-fracture--pediatric