Isolated ulnar shaft fracture - bilateral

Case contributed by Leonardo Lustosa

Presentation

Alleged assault victim. Intoxicated (refers the use of crack) polytrauma patient. Tenderness of both forearms.

Patient Data

Age: 25 years
Gender: Male

Forearm radiographs revealed bilateral isolated fractures of the ulnar shaft.

There are no signs of injuries to the distal or proximal radioulnar joints.

Case Discussion

Isolated ulnar shaft fractures, commonly referred to as nightstick fractures, are usually the result of direct trauma to the ulnar aspect of the forearm, this usually happens when someone uses their forearm to defend themselves from strikes.

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