Ulnar fracture natural history, complications and prognosis: Difference between revisions
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{{Ulnar fracture}} | {{Ulnar fracture}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}[[User:DrMars|Mohammadmain Rezazadehsaatlou[2]]] ; | ||
==Overview== | ==Overview== | ||
The prognosis [[ulnar fracture]] depends on many factors. However, the factors under the orthopedics surgeons control are: treatment method, timing of internal fixation in open fractures, soft-tissue handling, and restoration of osseous anatomy. | |||
== Complication == | |||
The type and frequency of complications of the [[ulnar fracture]] varies. Its been reported that the [[ulnar fracture]] related complication and post-traumatic arthritis rates are 6% - 80% and 7% -65%, respectively. Malunion with an intra-articular or extra-articular deformity non-union, tendon attrition/rupture complications and neurological injuries are the most frequent complication in this regard<ref name="pmid25657938">{{cite journal |vauthors=Meena S, Sharma P, Sambharia AK, Dawar A |title=Fractures of distal radius: an overview |journal=J Family Med Prim Care |volume=3 |issue=4 |pages=325–32 |date=2014 |pmid=25657938 |pmc=4311337 |doi=10.4103/2249-4863.148101 |url=}}</ref><ref name="pmid22385459">{{cite journal |vauthors=Stitgen A, McCarthy JJ, Nemeth BA, Garrels K, Noonan KJ |title=Ulnar fracture with late radial head dislocation: delayed Monteggia fracture |journal=Orthopedics |volume=35 |issue=3 |pages=e434–7 |date=March 2012 |pmid=22385459 |doi=10.3928/01477447-20120222-35 |url=}}</ref><ref name="pmid22018474">{{cite journal |vauthors=Wysocki RW, Ruch DS |title=Ulnar styloid fracture with distal radius fracture |journal=J Hand Surg Am |volume=37 |issue=3 |pages=568–9 |date=March 2012 |pmid=22018474 |doi=10.1016/j.jhsa.2011.08.035 |url=}}</ref>. | |||
== Prognosis == | |||
The prognosis of [[ulnar fracture]] is more guarded for open fractures of the shaft of the ulna with major skin and soft-tissue loss. In these patients, several operative procedures may be necessary, including initial debridement and stabilization, skin grafting, pedicle or free-flap applications, late reconstruction of the bones, and, frequently, tendon transfers<ref name="pmid25657938">{{cite journal |vauthors=Meena S, Sharma P, Sambharia AK, Dawar A |title=Fractures of distal radius: an overview |journal=J Family Med Prim Care |volume=3 |issue=4 |pages=325–32 |date=2014 |pmid=25657938 |pmc=4311337 |doi=10.4103/2249-4863.148101 |url=}}</ref><ref name="pmid21963158">{{cite journal |vauthors=Manidakis N, Sperelakis I, Hackney R, Kontakis G |title=Fractures of the ulnar coronoid process |journal=Injury |volume=43 |issue=7 |pages=989–98 |date=July 2012 |pmid=21963158 |doi=10.1016/j.injury.2011.08.030 |url=}}</ref><ref name="pmid21713726">{{cite journal |vauthors=Siebenlist S, Schmidt-Horlohé K, Hoffmann R, Stöckle U, Lucke M |title=[Proximal ulna fractures] |language=German |journal=Z Orthop Unfall |volume=149 |issue=3 |pages=e1–e19 |date=June 2011 |pmid=21713726 |doi=10.1055/s-0030-1271144 |url=}}</ref>. | |||
== References == | |||
Latest revision as of 13:06, 26 October 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2] ;
Overview
The prognosis ulnar fracture depends on many factors. However, the factors under the orthopedics surgeons control are: treatment method, timing of internal fixation in open fractures, soft-tissue handling, and restoration of osseous anatomy.
Complication
The type and frequency of complications of the ulnar fracture varies. Its been reported that the ulnar fracture related complication and post-traumatic arthritis rates are 6% - 80% and 7% -65%, respectively. Malunion with an intra-articular or extra-articular deformity non-union, tendon attrition/rupture complications and neurological injuries are the most frequent complication in this regard[1][2][3].
Prognosis
The prognosis of ulnar fracture is more guarded for open fractures of the shaft of the ulna with major skin and soft-tissue loss. In these patients, several operative procedures may be necessary, including initial debridement and stabilization, skin grafting, pedicle or free-flap applications, late reconstruction of the bones, and, frequently, tendon transfers[1][4][5].
References
- ↑ 1.0 1.1 Meena S, Sharma P, Sambharia AK, Dawar A (2014). "Fractures of distal radius: an overview". J Family Med Prim Care. 3 (4): 325–32. doi:10.4103/2249-4863.148101. PMC 4311337. PMID 25657938.
- ↑ Stitgen A, McCarthy JJ, Nemeth BA, Garrels K, Noonan KJ (March 2012). "Ulnar fracture with late radial head dislocation: delayed Monteggia fracture". Orthopedics. 35 (3): e434–7. doi:10.3928/01477447-20120222-35. PMID 22385459.
- ↑ Wysocki RW, Ruch DS (March 2012). "Ulnar styloid fracture with distal radius fracture". J Hand Surg Am. 37 (3): 568–9. doi:10.1016/j.jhsa.2011.08.035. PMID 22018474.
- ↑ Manidakis N, Sperelakis I, Hackney R, Kontakis G (July 2012). "Fractures of the ulnar coronoid process". Injury. 43 (7): 989–98. doi:10.1016/j.injury.2011.08.030. PMID 21963158.
- ↑ Siebenlist S, Schmidt-Horlohé K, Hoffmann R, Stöckle U, Lucke M (June 2011). "[Proximal ulna fractures]". Z Orthop Unfall (in German). 149 (3): e1–e19. doi:10.1055/s-0030-1271144. PMID 21713726.