Archives of Orthopaedic and Trauma Surgery

, Volume 112, Issue 1, pp 39–41 | Cite as

Stress fracture of the radius following non-union of an isolated fracture of the ulna

  • H. De Boeck
  • E. Verhaven
  • P. P. Casteleyn


Non-union of the ulnar diaphysis after isolated ulnar shaft fracture is uncommon. Complications due to non-union of the ulna must therefore be very rare. A case of a stress fracture of the radius in a postmenopausal woman following an isolated ulnar shaft fracture and non-union is presented. The mechanism of the stress fracture and propositions for preventing non-union of the ulnar shaft after an isolated fracture in the osteoporotic patient are discussed.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Altner PC, Hartman JT (1972) Isolated fractures of the ulnar shaft in the adult. Surg Clin North AM 52:155–170Google Scholar
  2. 2.
    Anderson LD, Sisk ID, Tooms RE, Park WI III (1975) Compression-plate fixation in acute diaphyseal fractures of the radius and ulna. J Bone Joint Surg [Am] 57:287–297Google Scholar
  3. 3.
    Brakenbury PH, Corea JR, Blakemore ME (1981) Non-union of the isolated fracture of the ulnar shaft in adults. Injury 12:371–375Google Scholar
  4. 4.
    Buchanan JR, Myers CA, Greer RB (1988) A comparison of the risk of vertebral fracture in menopausal osteopenia and other metabolic disturbances. J Bone Joint Surg [Am] 70:704–711Google Scholar
  5. 5.
    Burwell H, Charnley D (1964) Treatment of forearm fractures in adults with particular reference to plate fixation. J Bone Joint Surg [Br] 46:404–425Google Scholar
  6. 6.
    Chalmers J, Conacher WDH, Gardner DL, Scott PJ (1967) Osteomalacia. A common disease in elderly women. J Bone Joint Surg [Br] 49:403–423Google Scholar
  7. 7.
    Corea JR, Brakenbury PH, Blakemore ME (1981) The treatment of isolated fractures of the ulnar shaft in adults. Injury 12:365–370Google Scholar
  8. 8.
    De Buren N (1962) Causes and treatment of non-union in fractures of the radius and ulna. J Bone Joint Surg [Br] 44:614–625Google Scholar
  9. 9.
    De Jong T, De Jong PCM (1989) Ulnar-shaft fracture needs no treatment. Acta Orthop Scand 60:263–264Google Scholar
  10. 10.
    Devas MB (1975) Stress fractures. Churchill Livingstone, EdinburghGoogle Scholar
  11. 11.
    Du Toit FP, Grace RP (1979) Isolated fractures of the shaft of the ulna. S Afr Med J 56:21–25Google Scholar
  12. 12.
    Dymond IWD (1984) The treatment of isolated fracture of the distal ulna. J Bone Joint Surg [Br] 66:408–410Google Scholar
  13. 13.
    Ekelund AL, Nilsson OS (1989) Early mobilization of isolated ulnar-shaft fractures. Acta Orthop Scand 60:261–262Google Scholar
  14. 14.
    Grace TG, Witmer BJ (1980) Isolated fractures of the ulnar shaft. Orthop Trans 4:299–300Google Scholar
  15. 15.
    Hackstock H, Helmreich M (1987) Isolierte Brüche des Ellenschaftes. Behandlung mit Sarmiento Brace. Unfallchirurg 90:298–302Google Scholar
  16. 16.
    Hoffer MM, Schobert W (1984) The failure of casual treatment for nondisplaced ulna shaft fractures. J Trauma 24:771–773Google Scholar
  17. 17.
    Hooper G (1974) Isolated fractures of the shaft of the ulna. Injury 6:180–184Google Scholar
  18. 18.
    Milliner S, Nunley JA (1982) Treatment of isolated fractures of the shaft of the ulna. Orthopedics 5:1604–1606Google Scholar
  19. 19.
    Ostermann PAW, Henry SL, Seligson D (1987) Behandlung der Ulnafractur mit dem Fixateur externe eine sinnvolle Alternative. Unfallchirurg 90:122–127Google Scholar
  20. 20.
    Perry CR, Perry III HM, Burdge RE (1984) Stress fracture of the radius following a fracture of the ulna diaphysis. Clin Orthop 187:193–198Google Scholar
  21. 21.
    Pollock FH, Pankovich AM, Prieto JJ, Lorenz M (1983) The isolated fracture of the ulnar shaft. J Bone Joint Surg [Am] 65:339–342Google Scholar
  22. 22.
    Sarmiento A, Kinman PB, Murphy KB, Phillips JG (1976) Treatment of ulnar fractures by functional bracing. J Bone Joint Surg [Am] 58:1104–1107Google Scholar
  23. 23.
    Smith H, Sage FP (1957) Medullary fixation of forearm fractures. J Bone Joint Surg [Am] 39:91–98Google Scholar
  24. 24.
    Smith JEM (1959) Internal fixation in the treatment of fractures of the shafts of the radius and ulna in adults. J Bone Joint Surg [Br] 41:122–131Google Scholar
  25. 25.
    Stanitski CL, McMaster JH, Scranton PE (1978) On the nature of stress fractures. Am J Sports Med 6:391–396Google Scholar
  26. 26.
    Watson-Jones R (1957) Fractures and joint injuries, 4th edn. Churchill Livingstone, Edinburgh, p 25Google Scholar
  27. 27.
    Young A, Kinsella P, Boland P (1981) Stress fractures of the lower limb in patients with rheumatoid arthritis. J Bone Joint Surg [Br] 63:239–243Google Scholar
  28. 28.
    Zehnder MA (1955) Retrograde intramedullary introduction of multiple Kirschner wires into the ulna as a method of choice in forearm fractures or in isolated fractures of the ulna shaft. Milit Med 116:282–285Google Scholar
  29. 29.
    Zych GA, Latta LL, Zagorski JB (1987) Treatment of isolated ulnar shaft fractures with prefabricated functional fracture braces. Clin Orthop 219:194–200Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • H. De Boeck
    • 1
  • E. Verhaven
    • 1
  • P. P. Casteleyn
    • 1
  1. 1.Department of Orthopaedic SurgeryAcademic Hospital of the Free University of BrusselsBelgium

Personalised recommendations