Nightstick fracture (ulna)
Citation, DOI and article data
Nightstick fractures are isolated fractures of the ulna, typically transverse and located in the mid-diaphysis and usually resulting from a direct blow. It is a characteristic defensive fracture when the patient tries to ward off an overhead blow from an assailant (or local law enforcement officer) branding a bar-like weapon.
This is a defense type fracture and cases should prompt concern for a patients safety, it is rare that an isolated fracture of the ulnar can be the result of falling over, intimate partner violence amongst other things should be considered in patients where the clinical details do not match the fracture 4.
Treatment and prognosis
Although typically a closed fracture, they have a higher rate of delayed union or non-union.
History and etymology
Historically this fracture was seen not infrequently due to a strike from a policeman’s baton (known as a nightstick in the USA).
- 1. Lee P, Hunter TB, Taljanovic M. Musculoskeletal colloquialisms: how did we come up with these names? Radiographics. 24 (4): 1009-27. doi:10.1148/rg.244045015 - Pubmed citation
- 2. Cai XZ, Yan SG, Giddins G. A systematic review of the non-operative treatment of nightstick fractures of the ulna. Bone Joint J. 2013;95-B (7): 952-9. doi:10.1302/0301-620X.95B7.31669 - Pubmed citation
- 3. Helms CA. Fundamentals of Skeletal Radiology: Expert Consult: Online and Print, 4e (Fundamentals of Radiology). Saunders. ISBN:1455751545. Read it at Google Books - Find it at Amazon
- 4. Alessandrino Francesco, Abhishek Keraliya and Jordan Lebovic et al. "Intimate Partner Violence: A Primer for Radiologists to Make the “Invisible” Visible". RadioGraphics 40, no. 7 (2020): 2080-2097. . doi:10.1148/rg.2020200010.