3.8 of 72 Ratings
Figures A and B are the radiographs of a 58-year-old female who sustained a ground-level fall. The decision is made to proceed with operative stabilization of the distal radius. Which of the following findings would indicate the need for distal ulna fixation?
Degree of angulation of the distal ulna fracture
Degree of comminution of the distal ulna fracture
Location of the distal ulna fracture
Size of the distal ulna fracture
Intraoperative distal radial ulnar joint instability
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A 36-year-old rancher is involved in a tractor roll-over accident and sustains the injury shown in Figure A to his dominant right arm. After undergoing rigid anatomic fixation of the fracture, the distal radio-ulnar joint (DRUJ) remains incongruent. What is the next step in management?
Revision plating of the fracture
Revision reduction and intramedullary fixation
Reduction of interposed extensor carpi ulnaris tendon
Reduction of interposed pronator quadratus tendon
Reduction of interposed flexor carpi ulnaris tendon