Ulnar bone fracture x ray
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].
Overview
he orthopedic surgeon should consider to have at least two radiographic projections (ie, anteroposterior [AP] and lateral) of the forearm. These show the fracture, the extent of displacement, and the extent of comminution. A tuberosity view is helpfull ascertain the rotational displacement of the fracture. Also, it would be helpful for the orthopedic surgeon in planning how much supination or pronation is needed to achieve accurate anatomic reduction.
X-Ray evaluation
The orthopedic surgeon should consider to have at least two radiographic projections (ie, anteroposterior [AP] and lateral) of the forearm. These show the fracture, the extent of displacement, and the extent of comminution. The orthopedic surgeon should pay serious attention toward finding any foreign bodies in open fractures and gunshot injuries. Also imperative is to include the elbow and wrist joint in the radiographs of ulnar fractures to ensure that the distal radioulnar joint injuries are not missed[1][2][3].
A tuberosity view is helpfull ascertain the rotational displacement of the fracture. Also, it would be helpful for the orthopedic surgeon in planning how much supination or pronation is needed to achieve accurate anatomic reduction. The ulna is laid flat on the cassette with its subcutaneous border in contact with the cassette; the x-ray tube is tilted toward the olecranon by 20°. This radiograph is then compared with a standard set of diagrams that show the prominence of the radial tuberosity in various degrees of pronation and supination in order to determine the scope of the rotational deformity[4][5][6].
References
- ↑ Ayalon O, Marcano A, Paksima N, Egol K (January 2016). "Concomitant Ulnar Styloid Fracture and Distal Radius Fracture Portend Poorer Outcome". Am J. Orthop. 45 (1): 34–7. PMID 26761916.
- ↑ Bae DS (June 2016). "Successful Strategies for Managing Monteggia Injuries". J Pediatr Orthop. 36 Suppl 1: S67–70. doi:10.1097/BPO.0000000000000765. PMID 27100040.
- ↑ Turan S, Çankaya D, Yılmaz S, Karakuş D, Dündar A, Özdemir G (August 2016). "Effect of ulnar styloid fracture on outcomes after conservative treatment of distal radius fracture". Eklem Hastalik Cerrahisi. 27 (2): 87–93. PMID 27499320.
- ↑ Lüninghake FJ, Yarar S, Rueger J, Schädel-Höpfner M (April 2014). "[Carpometacarpal fractures and fracture dislocations of rays 2-5]". Unfallchirurg (in German). 117 (4): 299–306. doi:10.1007/s00113-013-2509-8. PMID 24700082.
- ↑ Yang H, Wang B, Wang J, Li R, Zhao S, Bu W (September 2013). "[Clinical research of ulnar styloid fracture complicated with wrist dorsal branch of ulnar nerve injury]". Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi (in Chinese). 27 (9): 1028–31. PMID 24279007.
- ↑ Chen HW, Wang ZY, Wu X, Tang B, Zhu W, Zhou G, Liu F, Qiu B (June 2017). "Evaluation of a combined posterior lateral and anteromedial approach in the treatment of terrible triad of the elbow: A retrospective study". Medicine (Baltimore). 96 (22): e6819. doi:10.1097/MD.0000000000006819. PMC 5459697. PMID 28562532.