Distal radial and ulnar fractures

Case contributed by Andrew Kirby
Diagnosis certain

Presentation

Fall on outstretched hand. Tender and deformed in ED.

Patient Data

Age: 5 years
Gender: Male

Distal radial transverse (complete) fracture - complete dorsal translation and shortening (off-ended).

Distal ulnar green-stick (incomplete) fracture - dorsal angulation.

Elbow and wrist joints are intact.

Case Discussion

Paediatric fractures are very variable in appearance and descriptive terms are important. It is also important to use the correct descriptive terms for displacement.

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