Distal Third Radius Fractures with an Intact Ulna

Abstract

Distal third radius fractures are common injuries in childhood and can often be treated nonoperatively with closed reduction and casting. Fracture management becomes slightly more challenging when the radius is displaced and the ulna is either nondisplaced or intact. Sometimes, isolated distal third radius fractures cannot be close reduced, and even when closed reduction is achieved, the fracture may subsequently displace. Therefore, close monitoring is required for early detection of displacement. Cast wedging can improve alignment, but patients may ultimately require operative intervention. Techniques include closed reduction and percutaneous pinning, open reduction with internal fixation using plates and screws, and intramedullary fixation.