Forearm Fractures

Question 1

How are the radius and ulna connected?

Answer 1

Proximally and distally by strong ligaments

Question 2

If the radius or ulna is fractured?

Answer 2

There is most likely fracture/dislocation involving the other bone

Question 3

Cause of an ulnar shaft fracture?

Answer 3

Direct blow

• Many cases occurred after being hit by a truncheon
• Monteggig injury likely to be associated with it

Question 4

Treatment of ulnar shaft fracture?

Answer 4

Conservative

ORIF

Question 5

Treatment for fracturing both bones of the forearm?

Answer 5

• Diaphyseal fracture of both bones = ORIF

- Substantially angulated fracture:/displaced fracture with intact periosteum: ,UA and plaster

Question 6

Treatment of a child with a minimally angulated fracture?

Answer 6

Plaster only

Question 7

What is a monteggia fracture dislocation?

Answer 7

Fracture of ulna with dislocation of radial head at elbow

Question 8

Investigation for a monteggia fracture dislocation?

Answer 8

• X-rays may not easily demonstrate the incongruence of radiocapitaller joint
• In isolated ulna fracture: perform elbow X-rays

Question 9

Treatment for monteggia fracture dislocation?

Answer 9

ORIF

Question 10

What is a Galeazzi fracture dislocation?

Answer 10

Fracture of radius with dislocation of the ulna at the distal radioulnar joint

Question 11

Investigation for a galeazzi fracture dislocation?

Answer 11

Forearm x-rays may not clearly demonstrate dislocation

Isolated radial shaft fracture: lateral x-ray of wrist is mandatory

Question 12

What is mandatory in an isolated radial shaft fracture?

Answer 12

Lateral xray of wrist

Question 13

Treatmnet for gallaezzi fracture dislocation?

Answer 13

ORIF