Distal Radioulnar Synostosis Following Greenstick Fracture of the Ulnar Diaphysis: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2024-10-31 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00299

David M Kell, Benjamin Chang, Apurva S Shah, Brendan A Williams

引用次数: 0

Abstract

Case: We discuss a 16-year-old adolescent boy presenting with a minimally displaced greenstick fracture of the distal third ulnar diaphysis sustained during a fall playing football. Initial treatment consisted of in situ casting followed by removable forearm splinting. The patient returned 3 months postinjury with complete forearm motion loss. Imaging demonstrated a post-traumatic radioulnar synostosis. Surgical management of the synostosis restored forearm motion without recurrence.

Conclusion: Clinicians should be aware of this atypical presentation of a radioulnar synostosis when evaluating stiffness in the post-treatment setting even for fractures that are minimally displaced and do not require reduction or surgery.

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尺骨干骺端绿棒骨折后的桡尺骨远端骨骺端合体：病例报告

病例：我们要讨论的是一名 16 岁的青少年男孩，他在踢足球时不慎摔倒，导致第三尺骨远端干骺端绿色棒状骨折，移位程度很轻。最初的治疗包括原位石膏固定和前臂活动夹板固定。患者伤后 3 个月复诊，前臂活动完全丧失。影像学检查显示，患者患有创伤后骨桡侧关节突。手术治疗后，患者的前臂活动功能得以恢复，且没有复发：临床医生在评估治疗后的僵硬情况时，应注意这种非典型的桡尺关节突触，即使是移位很小、不需要复位或手术的骨折也是如此。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.