Skip to main content

Distal Radius Fractures with Ulnar Head and Neck Fractures

  • Chapter
  • First Online:
  • 1586 Accesses

Abstract

Distal ulna fractures commonly occur with distal radius fractures. These combined injuries often have greater instability and are at risk for malunion and nonunion. Anatomic reduction of the distal radius with stable plate fixation is often the most helpful first step in treating these combined injuries. The ulna fracture can then be evaluated for alignment and stability and the need for additional reduction and fixation. Here we review the methods of fixation for these combined fractures as well as the outcomes associated with these techniques.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58(4):453–8.

    CAS  PubMed  Google Scholar 

  2. Ring D, McCarty LP, Campbell D, Jupiter JB. Condylar blade plate fixation of unstable fractures of the distal ulna associated with fracture of the distal radius. J Hand Surg Am. 2004;29(1):103–9.

    Article  PubMed  Google Scholar 

  3. Biyani A, Simison AJ, Klenerman L. Fractures of the distal radius and ulna. J Hand Surg Br. 1995;20(3):357–64.

    Article  CAS  PubMed  Google Scholar 

  4. Ishikawa J, Iwasaki N, Minami A. Influence of distal radioulnar joint subluxation on restricted forearm rotation after distal radius fracture. J Hand Surg Am. 2005;30(6):1178–84.

    Article  PubMed  Google Scholar 

  5. Dennison DG. Open reduction and internal locked fixation of unstable distal ulna fractures with concomitant distal radius fracture. J Hand Surg Am. 2007;32(6):801–5.

    Article  PubMed  Google Scholar 

  6. Bessho Y, Okazaki M, Nakamura T. Double plate fixation for correction of the malunited distal ulna fracture: a case report. Hand Surg. 2011;16(3): 335–7.

    Article  PubMed  Google Scholar 

  7. Lee SK, Kim KJ, Park JS, Choy WS. Distal ulna hook plate fixation for unstable distal ulna fracture associated with distal radius fracture. Orthopedics. 2012;35(9):e1358–64.

    Article  PubMed  Google Scholar 

  8. Geissler WB. Management distal radius and distal ulnar fractures with fragment specific plate. J Wrist Surg. 2013;2(2):190–4.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Gschwentner M, Arora R, Wambacher M, Gabl M, Lutz M. Distal forearm fracture in the adult: is ORIF of the radius and closed reduction of the ulna a treatment option in distal forearm fracture? Arch Orthop Trauma Surg. 2008;128(8):847–55.

    Article  PubMed  Google Scholar 

  10. Nemeth N, Bindra RR. Fixation of distal ulna fractures associated with distal radius fractures using intrafocal pin plate. J Wrist Surg. 2014;3(1): 55–9.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Grechenig W, Peicha G, Fellinger M. Primary ulnar head prosthesis for the treatment of an irreparable ulnar head fracture dislocation. J Hand Surg Br. 2001;26(3):269–71.

    Article  CAS  PubMed  Google Scholar 

  12. Pansard E, Chantelot C, Mares O. Fracture of the distal radius associated with an articular comminutive fracture of the distal ulna: treatment in emergency by osteosynthesis of the radius by volar locking plate for the radius and a resection of the distal end of the ulna: report of one case. Chir Main. 2011;30(1):69–72.

    Article  CAS  PubMed  Google Scholar 

  13. Ruchelsman DE, Raskin KB, Rettig ME. Outcome following acute primary distal ulna resection for comminuted distal ulna fractures at the time of operative fixation of unstable fractures of the distal radius. Hand (N Y). 2009;4(4):391–6.

    Article  Google Scholar 

  14. Seitz Jr WH, Raikin SM. Resection of comminuted ulna head fragments with soft tissue reconstruction when associated with distal radius fractures. Tech Hand Up Extrem Surg. 2007;11(4):224–30.

    Article  PubMed  Google Scholar 

  15. Yoneda H, Watanabe K. Primary excision of the ulnar head for fractures of the distal ulna associated with fractures of the distal radius in severe osteoporotic patients. J Hand Surg Eur Vol. 2014;39(3):293–9.

    Article  CAS  PubMed  Google Scholar 

  16. Trehan SK, Orbay JL, Wolfe SW. Coronal shift of distal radius fractures: influence of the distal interosseous membrane on distal radioulnar joint instability. J Hand Surg Am. 2015;40(1):159–62.

    Article  PubMed  Google Scholar 

  17. Ruch DS, Lumsden BC, Papadonikolakis A. Distal radius fractures: a comparison of tension band wiring versus ulnar outrigger external fixation for the management of distal radioulnar instability. J Hand Surg Am. 2005;30(5):969–77.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kristofer S. Matullo MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Matullo, K.S., Dennison, D.G. (2016). Distal Radius Fractures with Ulnar Head and Neck Fractures. In: Lawton, J. (eds) Distal Radius Fractures. Springer, Cham. https://doi.org/10.1007/978-3-319-27489-8_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27489-8_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27487-4

  • Online ISBN: 978-3-319-27489-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics