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Journal of Hand Surgery (British and European Volume)
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Articles

Fractures of the Distal Radius and Ulna

A. BIYANI
A. J. M. SIMISON
L. KLENERMAN

From the Department of Orthopaedics, Arrowe Park Hospital, Wirral, UK

Correspondence: A. Biyani, Department of Orthopaedic Surgery, Arrowe Park Hospital, Upton, Wirral, L49 5PE, UK.

Associated fractures of the distal ulnar metaphysis were present in 19 of 320 distal radial fractures requiring either closed manipulation or surgical treatment over a 2-year period. Four morphological patterns of ulnar fracture were encountered, the commonest being the type 1 simple extra-articular fracture of the distal end of ulna with minimal comminution (eight out of 19). 15 patients were treated conservatively and two each were treated by internal and external fixation. 15 patients were reviewed after a mean follow-up of 23.8 months and there were four excellent, five good, five fair clinical results and one poor result. Radiographically the distal radio-ulnar joint (DRUJ) was normal in eight wrists, but longitudinal or horizontal disruption of the DRUJ was present in seven wrists. Fracture callus encroached on the DRUJ in three patients, who also had limitation of forearm rotation. Two comminuted ulnar fractures (type 4) developed non-union, but both patients had full forearm rotation, in contrast to restriction of forearm rotation in four out of five patients with type 1 fractures.

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 3, 357-364 (1995)
DOI: 10.1016/S0266-7681(05)80094-4
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Home page
 J Hand Surg Eur VolHome page
J. NAMBA, T. FUJIWARA, T. MURASE, T. KYO, I. SATOH, and T. TSUDA
Intra-articular distal ulnar fractures associated with distal radial fractures in older adults: early experience in fixation of the radius and leaving the ulna unfixed
J Hand Surg Eur Vol., October 1, 2009; 34(5): 592 - 597.
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