M.E.Müller: Atlas: Fracture 22-C1

Radius/Ulna, Diaphysis,
complex fracture, ulna
0,30% of the total
2,35% of the radius/ulna
9,65% of the segment

21 fractures 12,7% group 81%M, 19%F

96 fractures
58,2% group
76%M, 24%F

48 fractures
29,1% group
67%M, 33%F

Segmental, radius intact +Q Segmental, radius fractured +Q Irregular +Q

preoperative preoperative postoperative postoperative

+ 3 months + 3 months

These are fractures of both bones of the forearm that combine a simple fracture of the radius with a complex fracture of the ulna. Ref. Manual of Internal Fixation:
232 - 251. 466 - 475.
Surgeon. RO.

The illustrated case is exceptional and was sustained by a patient who suffered multiple fractures in a tornado. The forearm fracture was largely open at the level of the elbow.

From the conceptual standpoint, the lesion should be classified as two separate fractures, the diaphyseal one and the articular one. In this situation it is preferable to first reduce and fix the fracture of the olecranon because

it is easier to do while the proximal diaphyseal fragment can be manipulated.

The example is useful to demonstrate the combination of internal fixation techniques (plates and tension band wiring) that allowed beginning of range of motion on the 6th day and an optimal final result in spite of the small intra-articular free fragment remaining at the elbow.

preoperative preoperative postoperative postoperative

+ 8 months + 8 months




						Radius/Ulna, Diaphysis, complex fracture, ulna	0,30% of the total 2,35% of the radius/ulna 9,65% of the segment






These are fractures of both bones of the forearm that combine a simple fracture of the radius with a complex fracture of the ulna.		Ref. Manual of Internal Fixation: 232 - 251. 466 - 475. Surgeon. RO.

The illustrated case is exceptional and was sustained by a patient who suffered multiple fractures in a tornado. The forearm fracture was largely open at the level of the elbow. From the conceptual standpoint, the lesion should be classified as two separate fractures, the diaphyseal one and the articular one. In this situation it is preferable to first reduce and fix the fracture of the olecranon because	it is easier to do while the proximal diaphyseal fragment can be manipulated. The example is useful to demonstrate the combination of internal fixation techniques (plates and tension band wiring) that allowed beginning of range of motion on the 6th day and an optimal final result in spite of the small intra-articular free fragment remaining at the elbow.