![]() ![]() Treatment of radial head fractures depends on the specific characteristics of the fracture using the Mason classification. Radial head fractures may be difficult to visualize on initial imaging but should be suspected when there are limitations of elbow extension and supination following trauma. Combined fractures involving both the ulna and radius generally require surgical correction. These fractures are treated with immobilization or surgery, depending on the degree of displacement and angulation. Isolated midshaft ulna (nightstick) fractures are often caused by a direct blow to the forearm. It should be noted that these fractures may be complicated by a median nerve injury. A nondisplaced, or minimally displaced, distal radius fracture is initially treated with a sugar-tong splint, followed by a short-arm cast for a minimum of three weeks. ![]() In adults, distal radius fractures are the most common forearm fractures and are typically caused by a fall onto an outstretched hand. skateboarding, Inline Skating, Downhill Skiing) Elderly: Low impact injury (e.g. Depending on the degree of angulation, buckle and greenstick fractures can be managed with immobilization. Epidemiology Most Common Wrist Injury Represents one sixth of all Fracture s overall More common at extremes of age (age<18 years and age>65 years) Young (<18 years): High energy injury (e.g.Greenstick fractures, which have cortical disruption, are also common in children. Acute compartment syndrome of the forearm is also seen in Smith's Fracture. Both radial and ulnar nerve compression are less commonly involved. Incomplete compression fractures without cortical disruption, called buckle (torus) fractures, are common in children. Research suggests that up to 15 of Smith's fractures may show symptoms of acute carpal tunnel syndrome from compression to the median nerve. If initial imaging findings are negative and suspicion of fracture remains, splinting and repeat radiography in seven to 14 days should be performed. To learn more about the anatomy of the radius and ulna, check out this complete. Evaluation with radiography or ultrasonography usually can confirm the diagnosis. In this video, we cover Colles fractures, Smith fractures, Bartons fractures and Chauffeur fractures. 1 In younger people, these fractures typically occur during sports or a motor vehicle collision. 1 Symptoms include pain, bruising, and rapid-onset swelling. A fall onto an outstretched hand is the most common mechanism of injury for fractures of the radius and ulna. A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. Fractures of the radius and ulna are the most common fractures of the upper extremity, with distal fractures occurring more often than proximal fractures. ![]()
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