In most cases, this type of fracture occurs in the growth plate of the radius … There is usually a fracture in the ulna and the top (head) of the radius is dislocated. (For the record, a negative ulnar variance occurs when the ulna is shorter). Sardinas J C & Montavon P M (1997) Use of a medial bone plate for repair of radius and ulna fractures in dogs and cats: a report of 22 cases. This is a very severe injury and requires urgent care. Positive ulnar variance is used to describe a forearm where the distal ulna is no longer in line with the distal radius, resulting in the ulnar being longer. Larsen L J, Roush J K & McLaughlin R M (1999) Bone plate fixation of distal radius and ulna fractures in small- and miniature-breed dogs. Treatment is surgical open reduction and internal fixation with compression plating of both the ulna and radius fractures. In addition, plate positioning and converging screw angulation target distal fragments of the ulnar head and neck for more stable fracture fixation. The amount of variance is measured on xray and is usually millimeters. Forearm supination also allows access to the volar surface of the radius and helps to delineate the ulnar-sided flexors from the radial-sided extensors and the BR. Sinikumpu, J.J., et al., Nonoperatively treated forearm shaft fractures in children show good long-term recovery. 28(4): p. 403-9. Fracture in the proximal ulna, you will use a posterior plate which will act as a tension band plate (it will resist the distractive forces across the fracture). radius and ulna in adults. These bones must each be approached through a separate incision, therefore you will have two incisions on your forearm. J Pediatr Orthop, 2008. It consists of the carpus, distal ulna and distal radius. Plating of the distal radius 1. The inclusion criteria included: fractures of the distal 1/3 of the radius and ulna and repair with open reduction and internal fixation utilizing an LCP plate (straight or notched head T-plate). Science: Epidemiology demographics highest incidence in men between age 10 and 20 ; women over age of 60; Pathophysiology mechanism of injury direct trauma The forearm consists of two bones, the radius and the ulna, with the ulna is located on the pinky side and the radius on your thumb side. Internal fixation involves use of compression plating (3.5-mm dynamic compression plate) with or without bone grafting. Fractures of the forearm can occur at different levels: near the wrist at the farthest (distal) end of the bone, in the middle of the forearm or near the elbow at … Fractures of the distal radius are the most common fractures in the human body. The wrist is a multi-articular joint. Principles of plate fixation: Also called a "physeal" fracture, this fracture occurs at or across the growth plate. Geleazzi fracture is fracture of the distal 1/3 of the radius shaft plus disruption of the distal radioulnar joint (DRUJ). Both bones forearm fractures are most commonly treated by placing a metal plate and screws on both the radius and ulna bones. The PT insertion at the midshaft to distal one third of the forearm must be partially elevated prior to plate placement (Figure 2, B and C). Growth plate fracture. Case Study: Fixation Of a Distal Radius Fracture Patient History : This is an 85 year-old, right hand dominant female who sustained a ground level fall on an outstretched hand. J Am Anim Hosp Assoc 35 (3), 243-250 PubMed. In recent years, great changes have taken place both in the treatment options of the distal radius and … Plating of the Distal Radius Arvind D. Nana, MD, Atul Joshi, MD, and David M. Lichtman, MD Abstract Distal radius fractures constitute up to 15% of all extremity fractures.1 Patients include both active elderly individuals and younger persons in- … Forearm - Radius and Ulnar Shaft Fractures Key Points: ... Reinhardt, K.R., et al., Comparison of intramedullary nailing to plating for both-bone forearm fractures in older children.