Radius Head and Neck Fractures Radius-ulna Body Fractures
Monteggia Fracture Dislocation
Ulna fracture + radial head dislocation.
Closed reduction is preferred in children, but is operated if the ulna fracture is unstable or the radial head cannot be reduced.
Open reduction and internal fixation are performed in adults.
Posterior interosseous nerve lesion is most common.
Galeazzi Fracture Dislocation
It is the presence of lower radioulnar dislocation with transverse fracture at the junction of the lower 1/3 and the middle 1/3 of the radius .
Colles' Fracture
These are fractures that can be up to 3 cm high above the inferior radial joint (fracture of the distal end of the radius) with dorsal displacement of the hand and wrist called bayonet deformity.
It is an extensor facial fracture of the radius.
It is most commonly seen as a result of falling into the palm.
Reduction + long arm cast is done. It heals in 6 weeks.
Smith Fracture
It is caused by falling on the back of the hand while the wrist is in palmar flexion.
It is the opposite of Colles' fracture.
At the lower end of the radius, the distal part is displaced to the volar side, and the proximal part is displaced dorsal.
Reduction + plaster is applied with the forearm in supination and the wrist in dorsal flexion.
Lunatum Dislocation
Subluxation is the most common carpal bone.
Fracture of Wrist Bone
The scaphoid bone is most often fractured.
The wrist is broken as a result of falling on it. It is most commonly broken in the lumbar region.
It can go into aseptic necrosis due to insufficient vascular structure.
There is a complaint of pain in the snuff pit.
It is seen in the hand holding a pencil position on the direct graph.
A short splint is applied from the forearm to the proximal interphalangeal joint of the thumb.
Bennet's Fracture
It is a fractured dislocation of the base of the metacarpal.
Rolando Fracture
Bennet fracture + wide dorsal fragment fracture.
Boxer's Fracture
4th and 5th metacarpal neck fractures.
Baseball Fracture (Mallet Finger)
It is an avulsion fracture due to the pulling of the extensor tendon that attaches dorsally to the base of the distal phalanx.
There is no extension movement in the distal phalanx.
