Ulnar bone fracture differential diagnosis: Difference between revisions
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{{Ulnar bone fracture}} | {{Ulnar bone fracture}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}[[User:DrMars|Mohammadmain Rezazadehsaatlou[2]]]. | ||
==Overview== | ==Overview== | ||
Ulnar bone fracture must be differentiated from other diseases that | Ulnar bone fracture must be differentiated from other diseases that could affect the bone strength and consequently leads to the bone fracture. | ||
==Differentiating Ulnar bone Fracture from other Diseases== | |||
In the orthopedic medicine its important to know that the forearm fracture should be evaluated using radiography for both confirming diagnosis and also for evaluating the surrounding tissues. Since there is no "differential" diagnosis list in this regard the main question for the medical doctor and/or orthopedic surgeon is either about what other injuries might be present, or whether the fracture was caused by some underlying abnormality such as osteoporosis causing pathological fracture<ref name="pmid29262187">{{cite journal |vauthors=Johnson NP, Silberman M |title= |journal= |volume= |issue= |pages= |date= |pmid=29262187 |doi= |url=}}</ref><ref name="pmid29442213">{{cite journal |vauthors=Griffith TB, Kercher J, Clifton Willimon S, Perkins C, Duralde XA |title=Elbow Injuries in the Adolescent Thrower |journal=Curr Rev Musculoskelet Med |volume=11 |issue=1 |pages=35–47 |date=March 2018 |pmid=29442213 |pmc=5825338 |doi=10.1007/s12178-018-9457-4 |url=}}</ref>. Additional injuries such as possible olecranon fracture-dislocation; radial head or coronoid fractures or lateral collateral ligament injury, might be seen in Monteggia fracture. If the mechanism of injury suggests particularly low energy then the Osteoporosis should be considered. The pathological Fractures occurring in a bone with a tumor or Paget's disease) are rare but possible<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>. | |||
[ | Also it should be noted that the both bone fractures can be complicated by acute [[compartment syndrome]] of the forearm. Signs suggesting [[compartment syndrome]] are pain on extension of digits, and marked edema<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>. | ||
== | As another important fact in orthopedic fracture is if both-bone fractures were found in pediatric which is common after accidental trauma, but it may also be the due to the of child abuse; and in these cases a careful attention and evaluation should be considered if a child abuse is suspected<ref name="pmid27620542">{{cite journal |vauthors=Guss MS, Kaye D, Rettig M |title=Bennett Fractures A Review of Management |journal=Bull Hosp Jt Dis (2013) |volume=74 |issue=3 |pages=197–202 |date=September 2016 |pmid=27620542 |doi= |url=}}</ref><ref name="pmid27886684">{{cite journal |vauthors=Hopkins CM, Calandruccio JH, Mauck BM |title=Controversies in Fractures of the Proximal Ulna |journal=Orthop. Clin. North Am. |volume=48 |issue=1 |pages=71–80 |date=January 2017 |pmid=27886684 |doi=10.1016/j.ocl.2016.08.011 |url=}}</ref>. | ||
== References == | |||
==References== | |||
Latest revision as of 14:48, 28 December 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
Ulnar bone fracture must be differentiated from other diseases that could affect the bone strength and consequently leads to the bone fracture.
Differentiating Ulnar bone Fracture from other Diseases
In the orthopedic medicine its important to know that the forearm fracture should be evaluated using radiography for both confirming diagnosis and also for evaluating the surrounding tissues. Since there is no "differential" diagnosis list in this regard the main question for the medical doctor and/or orthopedic surgeon is either about what other injuries might be present, or whether the fracture was caused by some underlying abnormality such as osteoporosis causing pathological fracture[1][2]. Additional injuries such as possible olecranon fracture-dislocation; radial head or coronoid fractures or lateral collateral ligament injury, might be seen in Monteggia fracture. If the mechanism of injury suggests particularly low energy then the Osteoporosis should be considered. The pathological Fractures occurring in a bone with a tumor or Paget's disease) are rare but possible[3].
Also it should be noted that the both bone fractures can be complicated by acute compartment syndrome of the forearm. Signs suggesting compartment syndrome are pain on extension of digits, and marked edema[3].
As another important fact in orthopedic fracture is if both-bone fractures were found in pediatric which is common after accidental trauma, but it may also be the due to the of child abuse; and in these cases a careful attention and evaluation should be considered if a child abuse is suspected[4][5].
References
- ↑ Johnson NP, Silberman M. PMID 29262187. Missing or empty
|title=(help) - ↑ Griffith TB, Kercher J, Clifton Willimon S, Perkins C, Duralde XA (March 2018). "Elbow Injuries in the Adolescent Thrower". Curr Rev Musculoskelet Med. 11 (1): 35–47. doi:10.1007/s12178-018-9457-4. PMC 5825338. PMID 29442213.
- ↑ 3.0 3.1 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.
- ↑ Guss MS, Kaye D, Rettig M (September 2016). "Bennett Fractures A Review of Management". Bull Hosp Jt Dis (2013). 74 (3): 197–202. PMID 27620542.
- ↑ Hopkins CM, Calandruccio JH, Mauck BM (January 2017). "Controversies in Fractures of the Proximal Ulna". Orthop. Clin. North Am. 48 (1): 71–80. doi:10.1016/j.ocl.2016.08.011. PMID 27886684.