Orthopedic Care and Consultation
47 years old mason fell on a pavement and his forearm struck the pavement. He presented with swelling in the forearm and severe pain Xray of the forearm revealed fracture of ulna.
Fracture Ulna Distal End
The patient was treated by Above Elbow plaster cast. The fracture healed uneventfully.
Popularity: 4% [?]
A 9 year old child fell from height and suffered injury arounf his wrist. The xray revealed minimally displaced of lower end of raidus and ulna.
Distal end of radius and ulna in a child
Patient was treated with plaster of Paris cast and is doing quite fine.
Popularity: 6% [?]
43 years old mason fell from height while working on a construction.
He presented with pain in right arm and swelling in upper third of arm.
Xray revealed fracture of upper third of radius with a small comminuted fragment (butterfly) [As depicted by arrow]
The patient was offered open reduction and internal fixation with low contact dynamic compression plate but the patient refused for any treatment.
Popularity: 5% [?]
This photograph is of forearm of 54 years old patient who was admitted to the hospital for some medical problem.
The deformity in the left forearm was quite prominent.
She gave a history of trauma19 years ago and there was fracture of both the bones [radius and ulna]. The fracture was managed by an osteopath because she refused to take operative treatment.
Interstingly, the fractured fragments were mobile and I wanted take an xray picture to look for pseudoarthrosis but she refused.
Also, in the picture, you can see patchy skin depigmentation.
Popularity: 4% [?]
22 years old female had an accident while she was driving a scooter that resulted in injury to her right [dominant limb] forearm. Examination also revealed posterior interosseus nerve palsy.
Xray revealed fracture of proximal third of radius with mid shaft ulna.
The fractures were fixed with locking compression plate for radius and low contact dynamic compression plate for ulna. Posterior interosseus nerve was found tethered between two fragments of radius but was intact. [Read more...]
Popularity: 6% [?]
The following xray is of 28 years old young man who fell from stairs. 
The xray shows fracture of radius and ulna bone in middle third and distal third junction.
Such fractures need anatomical reduction by open reduction and need to fixed by plating.
Popularity: 4% [?]
Distal forearm fractures in forearm occur in children due to fall on outstretched hand.
This is an xray of 6 years old child who suffreed this injury ehn she slipped and fell on her hand.
The xray above is 5 days after closed reduction and plaster application.
These fractures respond very well to conservative treatment.
Popularity: 3% [?]
Fractures of forearm bones are very common in paediatric and young age group. While in children they are amenable to closed reduction and plaster application, in adults they almost always require surgical treatment.
The image belongs to a 40 years old man who sustained trauma to left forearm when his motor bike collided with another vehicle. The man also had fracture of pubic ramus along with this injury.
The patient was operated for his forearm injury and fracture pubic ramus was manged conservatively.
Fractures of Proximal Thirds Of Radius and Ulna
A noteworthy finding in this patient is that both the bones have been injured at the same level.
Popularity: 3% [?]
Synostosis of the radius and ulna following fracture is relatively uncommon.The incidence is between 2-6% of the fractures. Very badly comminuted fractures occurring at the same level are at higher risk of developing this complication.me level. A greater association of this complication has been noted in patients who had crushed injury of forearm or there was an associated head injury.
Proximal fractures of forearm bones treated with one incision are more prone.
Because synostosis causes a bony bridge between radius and ulna it causes loss of rotation movements of forearm.
Xray would reveal bone formation between the two bones. [Read more...]
Popularity: 2% [?]
Adult Monteggia fractures rarely yield to closed reduction. Most of the time operative treatment is needed. The goal is to fix ulna in anatomical position and reduce radial head. Ulna is usually fixed by a 3.5-mm limited-contact dynamic compression plate .
Monteggia fractures should be operated as soon as feasible. patient is placed in supine or lateral position depending upon surgeon’s convenience.
After stabilization of the ulna, the elbow is passively ranged to assess the stability of the radial head. An image intensifier can help assess radial head stability. After the surgery wound is closed in layers without closure of fascia.
If there is a radial or posterior interosseous nerve palsy that has occurred with injury, the course of action depends on reduction of radial head. if the reduction of radial head occurs easily, exploration of the radial or posterior interosseous is not indicated. [Read more...]
Popularity: 2% [?]
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