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Radius and Ulnar Shaft Fractures
Posted: Feb 16 2018 #(C101041)
A

Distal-Third Radius and Ulna Fx in 54F

HPI

A 54-year-old female presents pain and swelling in the wrist and forearm after a ground-level fall 7 days ago. She was initially treated with closed reduction and cast immobilization. Radiographs are shown before and after reduction.

PMH

Nil significant

PE

Closed injury, no neurological deficit

Poll
1 of 5
1. How would you treat this fracture based on the post-reduction radiographs?
Non-operative with casting
15%
303/1933
ORIF
82%
1586/1933
CRPP
1%
33/1933
External Fixation
0%
11/1933
2. If performing ORIF, what technique would you perform for the distal third fracture of the radius and ulna?
For Radius fx volar approach and volar plate. For Ulnar fx K-wires
27%
480/1740
For Radius fx volar approach and volar plate. For Ulna fx ORIF with direct approach.
54%
948/1740
For Radius fx volar approach and volar plate. For Ulnar fx closed reduction with casting.
17%
312/1740
3. If you performed ORIF of the forearm, would you also stabilize the ulnar styloid fracture with ORIF?
Yes
44%
742/1664
No
55%
922/1664
4. If you choose ORIF for the ulnar styloid fracture, what technique would you use?
K-Wire
49%
747/1495
Screw
13%
207/1495
Tension band wires
21%
320/1495
ORIF with plate
14%
221/1495
5. If performing ORIF, would you stabilize the DRUJ, and if so with what technique?
No
19%
307/1596
Yes, screw
2%
38/1596
Yes, K-wires
13%
218/1596
I would assess the DRUJ after fixation to determine stability
64%
1033/1596
PROCEDURE #1

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Intra-procedure P1
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