Complete fracture of the radius and incomplete fracture of ulna

Case contributed by Dr Thuan Tzen, Koh

Presentation

FOOSH

Patient Data

Age: 8
Gender: Female

Complete transverse fracture of the distal right radial metadiaphysis with posterolateral displacement by one shaft width, shortening by around 1cm and mild radial angulation. There is an associated buckle fracture of the distal ulna metadiaphysis with slight radial angulation. No fracture involvement of the growth plates. The distal radioulnar joint alignment appears preserved.

Case Discussion

A nice example of co-existing complete and incomplete fractures in a child. This case is great for practicing fracture descriptions; fracture type, location, displacement, angulation, growth plate involvement, joint alignment, intra-articular extension etc. It is important to remember that the proximal structures are taken as being in anatomical position with the relative displacement and angulation of the distal structures described. 

My description for this case goes something like: "Complete transverse fracture of the distal right radial metadiaphysis with posterolateral displacement by one shaft width, shortening by around 1cm and mild radial angulation. There is an associated buckle fracture of the distal ulna metadiaphysis with slight radial angulation. No fracture involvement of the growth plates. The distal radioulnar joint alignment appears preserved."  

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Case Information

rID: 34750
Case created: 7th Mar 2015
Last edited: 18th Jan 2016
Inclusion in quiz mode: Included

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