ulna fractures

..Specific therapies are described...

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..Satisfactory healing of the scaphoid was observed. This combination of injuries has only rarely been reported in the literature...

..Few studies have been concentrated on this topic up to now. We report on the functional and radiological results 24 months after the treatment of this rare, open "shock triad in the elbow."..

..The character of the ulnar fracture is useful in determining optimal treatment. It is imperative to look for associated injuries of the radial head and coronoid, which alter the management and lead to altered outcomes...

..CONCLUSIONS: MCL repair is unnecessary in the treatment of dislocation of the elbow with associated intra-articular fractures, provided that the articular fractures and the LCL are repaired or reconstructed...

..The healed wounds made the skin safer for further management of the cases of nonunion...

..Appropriate use of surgical techniques for pediatric forearm and elbow fractures, when indicated, is essential to optimize results and achieve the ultimate goal of a pain-free functional extremity for the child...

..We conclude that ulnar plating is a good management policy for unstable forearm fracture in children with a satisfactory functional outcome, less morbidity and fewer complications...

..In the case of established malunion it is advisable to perform corrective osteotomy without delay...

..We report the case of a 15-year-old boy who had segmental radius and ulna fractures with a coronal split of a metaphyseal fragment, along with bilateral epiphyseal fractures of the distal radius ..

..0001). The CP system displayed a 'point-contact' configuration along the interface with high pressures recorded at these points, the significance of which is unknown...

..The current methods and the authors' methods of prophylactics and treatment of postoperative complications are analyzed. The methods of rehabilitation of such patients are also described...

..Treatment of anterior olecranon fracture dislocation is mostly satisfactory if contour and dimension of greater sigmoid notch is accurately restored...

..When complications are anticipated and avoided or addressed expediently, it is possible to restore elbow function in spite of the complexity of these injuries...

..A good result was achieved, with almost complete restoration of the patient's arm functions, and he has returned to his previous working activities...

..We recommend early operative repair with a standard protocol for these injuries...

..Treatment of this complication by this method has not previously been described...

..Fractures of the distal physis were treated by closed reduction and application of an above elbow cast. Excellent results were achieved in all children with ipsilateral supracondylar and forearm fractures...

..At four and half year's follow-up, there was complete incorporation of the segment with almost full functional recovery. We report this case for its rarity and discuss the treatment...

..These results suggest that a hinged Ilizarov external fixation frame can be a useful tool to restore function in such complex problems...

..CONCLUSION: Recognition of this form of injury is necessary to ensure proper treatment is undertaken to prevent the complications of inadequate reduction and growth retardation...

..CONCLUSIONS: A well-molded short arm cast can be used as effectively as a long arm cast to treat fractures of the distal third of the forearm in children four years of age and older, and they interfere less with daily activities...

..There were no cases of delayed union, nonunion or malunion. Five nerve injuries were diagnosed on admission and all recovered spontaneously within eight weeks. No patient developed a compartment syndrome...

..Treatment with early reduction and internal fixation with minimal soft tissue damage seems to be the method of choice in these fractures...

..The phenomenon of bone loss and stress protection has a biological rather than a mechanical explanation. The same mechanism of necrosis-induced internal remodelling may explain the basic process of direct healing...

..The series include cases with refractures after plate removal, in-situ plate brokerage and a critical size bone non-union which were treated with interlocking intramedullary osteosynthesis technique...

..Both refractures occurred at the site of a screw track. CONCLUSION: Despite the differences in the concept of fracture fixation, these two implants appear to be equally effective for the treatment of diaphyseal forearm fractures...

..We conclude that the technique of bone block grafting to correct diaphyseal defects of the radius or ulna is relatively easy to carry out and has a high success rate...

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..One case of superficial infection was successfully treated with oral antibiotics. Low rates of complications from routine removal of metal work after forearm plating in children may be achieved...

..The major disadvantage was the prominence of the implant. It was possible to conclude that the S.P.S. plate appears to be a suitable method for the treatment of diaphyseal fractures in dogs...

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..CONCLUSIONS: This study found that drivers and passengers have different upper extremity injury patterns but the direction of impact also plays an important role...

..Occult fractures are more common in pediatric patients with elbow injury than reported earlier...

..MRI provides additional information in acute trauma which, however, remains currently without consequences for the further treatment strategy...

..Nonetheless, this system can yield results of comparable quality to those of plate osteosynthesis. So far, no refractures after removal of the implants and no complications connected with the actual implants have been observed...

..Multiple and associated lesions are common. Plain radiographs usually allow accurate diagnosis. These lesions may lead to joint stiffness with poor functional prognosis...

..Closed reduction and casting of displaced both-bone diaphyseal forearm fractures, despite the residual angulation, results in satisfactory functional outcome and should remain a viable treatment option in the management of this injury...

..The management involved plating of the ulnar head fracture and titanium replacement of the radial head...

..A stable distal radio-ulnar joint was achieved by careful dissection of a posterior soft tissue flap and accurate reduction of the radius...

..Postoperatively all the patients were immobilized in a long arm cast in neutral rotation for 6 weeks. The results were excellent in 95%, fair in 30, and poor in 5...

..Irreducible Galeazzi fracture-dislocation is a rare injury. Structures that mechanically block the reduction are usually soft tissues. We present an irreducible case due to distal ulnar intra-articular fracture...

..A treatment algorithm is also provided to aid in the management of acute and chronic longitudinal radioulnar dissociation...

..We recommend early operative repair with a standard protocol for these injuries...

..Our approach led to the restoration of elbow joint stability in all patients...

..The elbow was stable after stabilization of the capitellum fracture through a collateral approach. Coronoid fragment was left alone, as it was a very small fragment...

..Intramedullary stabilization with Rush pins was performed in 6 patients. The additional 2 had such wide bone destruction after primary plates stabilization that intramedullary fixation was risky...

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..CONCLUSIONS: Radiography for nondisplaced elbow fractures demonstrated limited success. Additional imaging studies may be required in suspected elbow injuries with initial negative radiographs...

..The vascularized fibular graft is indicated in patients with intractable nonunions where conventional bone grafting has failed or large bone defects, exceeding 6 cm, are observed in the radius or ulna...

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..Perceived disability as measured with the DASH and SF-36 questionnaires is determined by pain more than by objective physical impairment...