Distal ulna fractures

J Hand Surg Am. 2014 Feb;39(2):385-91. doi: 10.1016/j.jhsa.2013.08.103. Epub 2014 Jan 9.

Abstract

In isolation, distal ulna fractures are rare. They are often found in conjunction with distal radius fractures, and the complexity of the interaction of the distal ulna with the radioulnar joint and triangular fibrocartilage complex makes understanding and treatment of distal ulna fractures challenging. Fixation of distal ulna fractures can be problematic owing to comminution making reduction challenging. A thin soft tissue can lead to hardware prominence and necessitate implant removal. In this Current Concepts article, we review the anatomy, pathology, and treatment of distal ulna fractures as well as potential complications and salvage procedures.

Keywords: Distal ulna; distal radioulnar joint; forearm fractures; ulna fractures; wrist fractures.

Publication types

  • Review

MeSH terms

  • Arthroplasty / methods
  • Bone Plates
  • Fracture Fixation, Internal / methods*
  • Humans
  • Joint Prosthesis
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / pathology
  • Radius Fractures / surgery*
  • Reoperation
  • Salvage Therapy / methods
  • Tomography, X-Ray Computed
  • Triangular Fibrocartilage / diagnostic imaging
  • Triangular Fibrocartilage / injuries
  • Triangular Fibrocartilage / surgery
  • Ulna Fractures / diagnostic imaging
  • Ulna Fractures / pathology
  • Ulna Fractures / surgery*
  • Wrist Injuries / diagnostic imaging
  • Wrist Injuries / pathology
  • Wrist Injuries / surgery*
  • Wrist Joint / surgery