M.E.Müller: Atlas: Fracture 21-C1

Radius/Ulna, Proximal,
articular fracture, both bones,
articular simple
0,09% of the total
0,70% of the radius/ulna
2,22% of the segment

23 fractures
46,9% group
39%M, 61%F

26 fractures
53,1% group
44%M, 56%F

Olecranon and head of radius Coronoid process and head of radius

These are articular fractures of both bones of the forearm. Ref. Manual of Internal Fixation:
184 - 187. 204 - 208. 458 - 465.
Surgeon. RO.

The results are always uncertain because of the difficult simultaneous reduction and containment of both joints and especially because of the difficulty to obtain early motion. Heterotopic ossification is an added complication.

Reconstruction of the ulna is essential in order to avoid

secondary dislocations. The radial head should be reconstructed if at all possible but, if the radius congruence is in doubt and a good stable reduction of the ulna is obtained, the excision is preferable in order to maintain the pronation and supination, an especially important function in an elbow with a limited flexion-extension motion.




						Radius/Ulna, Proximal, articular fracture, both bones, articular simple	0,09% of the total 0,70% of the radius/ulna 2,22% of the segment






These are articular fractures of both bones of the forearm.		Ref. Manual of Internal Fixation: 184 - 187. 204 - 208. 458 - 465. Surgeon. RO.

The results are always uncertain because of the difficult simultaneous reduction and containment of both joints and especially because of the difficulty to obtain early motion. Heterotopic ossification is an added complication. Reconstruction of the ulna is essential in order to avoid	secondary dislocations. The radial head should be reconstructed if at all possible but, if the radius congruence is in doubt and a good stable reduction of the ulna is obtained, the excision is preferable in order to maintain the pronation and supination, an especially important function in an elbow with a limited flexion-extension motion.