If there is smoke, there must be fire – Isolated distal, non-displaced, intraarticular ulna fracture: A case report
| Autor: | Florin Allemann, Marie Hélène Manz, Hans-Peter Simmen, Thomas Rauer, Kai Oliver Jensen |
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| Přispěvatelé: | University of Zurich, Rauer, Thomas |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Motorcycle accident 610 Medicine & health Wrist Trauma Article Diagnostic modalities 03 medical and health sciences 0302 clinical medicine Forearm medicine Distal ulna fracture Distal ulna business.industry Isolated fracture Emergency department Surgery 2746 Surgery 10021 Department of Trauma Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Presentation (obstetrics) business Ulna Fractures |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Isolated distal ulna styloid fractures are a rarity. • Timely diagnosis and appropriate therapy reduce posttraumatic morbidity. • High level of suspicion should be maintained in the presence of nonspecific pain, even if the initial X-ray is inconspicuous. Introduction Falling on the outstretched arm is a frequent trauma. The consequences can be isolated fractures of the distal radius, combined fractures of the distal radius and distal ulna - whereas the isolated fracture of the distal ulna is an uncommon trauma. Presentation of case We report on a 20- year- old male who presented at the emergency department after a motorcycle accident, suffering pain at his left forearm and left wrist. After an unremarkable x-ray in two planes, a CT- scan of the left wrist was performed and detected an isolated distal ulna fracture. The patient was treated with a forearm cast which led to a satisfying long term outcome. Discussion Based on the presented case the anatomical peculiarities of the distal radioulnar joint and the different trauma mechanisms as well as the resulting lesions, the diagnostic modalities and the treatment options are discussed. Conclusion We recommend performing an additional CT scan of the wrist in case of credible complaints after trauma to avoid baulking this very rare type of fracture. |
| Databáze: | OpenAIRE |
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