The Hip: Preservation, Replacement and Revision Tracking Pixel
Duke Orthopaedics
presents
Wheeless' Textbook of Orthopaedics

Pediatric Ulnar Fracture


- See:
       - Pediatric Both Bone Forearm Fractures
       - Monteggia's Fracture
       - Green Stick Frx
       - Distal Ulnar Physeal Fractures

- Discussion:
    - pediatric ulnar frx often occur along w/ pediatric both bone forearm frx
           - ulnar frx may be complete or incomplete (green stick frx);
    - isolated ulnar shaft frx can occur in children (night stick mechanism) but w/ an "isolated frx," always consider a pediatric Monteggia's fracture
           
- Remodeling after Fracture:
    - see acceptable reduction for pediatric both bone forearm frx:
    - correction of ulnar bowing by osteoclasis is not necessary in a child under 4 years old who has less than 20 deg of plastic deformation;
    - if bowing is > 20 deg, reduction should be done by first reducing plastically deformed bone and then the fracture;
    - immobilization in a well-molded long arm cast is necessary to avoid recurrence of the deformity



Plastic deformation in pediatric fractures: mechanisms and treatment.

Traumatic plastic deformation of the radius and ulna. A closed method of correction of deformity.

Displaced diaphyseal forearm fractures in children: classification and evaluation of the early radiographic prognosis.

Pattern of forearm fractures in children.

Forearm fractures in children.  Pitfalls and complications.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Wednesday, December 12, 2012 11:57 am