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FRACTURES

FRACTURES. of ulna and radius. Objectives. What's fracture of ulna and radius? Type Causes Investigation Symptoms Treatment Prognosis Prevention . What is a fracture of ulna and radius?. An injury to ulna and radius that causes it to break

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FRACTURES

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  1. FRACTURES of ulna and radius

  2. Objectives What'sfracture of ulna and radius? Type Causes Investigation Symptoms Treatment Prognosis Prevention

  3. What is a fracture of ulna and radius? An injury to ulna and radius that causes it to break Fractures are named to describe the type of damage that occurs to the bone

  4. Type 1- Nightstick fracture Defined as an isolated midshaftulnar fracture

  5. Type • 2- Monteggia fracture • Defined as a fracture of the ulna (usually proximal one third) with dislocation of the radial head

  6. 3- Galeazzi fracture • Defined as a fracture of the distal one third of the radius with dislocation of the distal radioulnar joint (DRUJ). • It is also known as a reverse Monteggia fracture.

  7. Type • 4-Essex-Lopresti fracture • This is defined as a fracture of the radial head and dislocation of DRUJ, with partial or complete disruption of radioulnarinterosseous membrane.

  8. Causes of Radius and Ulna Fractures Falling on outstretched arm Direct blow Mountain biking Skateboarding Trauma Automobile accidents Child abuse

  9. Investigation 1-History 2-Physical exam 3-X-ray the entire length of the forearm including wrist and elbow joints 4-Complicated fractures may require CT or MRI

  10. Symptoms swelling deformity tenderness may have bone fricative limited of activities forearm Decreased sensation or inability to move the limb, which may indicate nerve damage

  11. Treatment • External fixation methods • plaster and fiberglass casts • cast-braces • splints • Internal fixation methods • metal plates • Pins • Screws

  12. Treatment • Keep your splint or cast clean and dry • If possible, apply ice 2-3 times a day • Keep your arm elevated above the heart as much as possible to decrease swelling • Take pain medicine as prescribed

  13. Prognosis Uncomplicated distal radius and ulna fractures treated conservatively usually have an excellent outcome in about 6 weeks. There may be stiffness and swelling with activity for a few months. Fractures with open wounds, fractures requiring fixation (ORIF or external fixation), or fractures requiring repeat reduction will have a longer recovery and may have poorer outcomes. In very severe cases in which wrist arthroplasty or fusion is performed, recovery is even slower; however, the outcome is much better in these cases than if no joint replacement had been performed

  14. Prevention Wear appropriate personal safety equipment as protection. Wear car seat belts Use wrist guards for in-line skating and skateboarding Wear appropriate pads for contact sports Prevent and treat osteoporosis

  15. Video http://www.youtube.com/watch?v=9GaNFDzYqzU

  16. References • www.ahealthstudy.com • www.anatomyzone.com • http://www.orthoinfo.org/topic.cfm?topic=A00584 • www.freemd.com • www.mdguidelines.com

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