Treatment of a Segmental Ulnar Shaft Fracture and an Olecranon Fracture

Myoung Soo Kim; Kyu Pill Moon; Hyung Joon Cho; Jung Yun Bae; Kuen Tak Suh

doi:10.4055/jkoa.2010.45.6.496

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Kim, Moon, Cho, Bae, and Suh: Treatment of a Segmental Ulnar Shaft Fracture and an Olecranon Fracture

Case Report

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2010; 45(6): 496-500.

Published online: 24 December 2010

DOI: https://doi.org/10.4055/jkoa.2010.45.6.496

Treatment of a Segmental Ulnar Shaft Fracture and an Olecranon Fracture

Myoung Soo Kim, M.D., Kyu Pill Moon, M.D.^*, Hyung Joon Cho, M.D.^†, Jung Yun Bae, M.D.^†, Kuen Tak Suh, M.D.^†

Department of Orthopedic Surgery, Maryknoll Hospital, Busan, Korea.

^*Department of Orthopedic Surgery, Haedong Hospital, Busan, Korea.

^†Department of Orthopedic Surgery, Pusan National University School of Medicine, Yangsan, Korea.

Correspondence to: Kuen Tak Suh, M.D. Department of Orthopedic Surgery, Pusan National University, Yangsan Hospital, Beomeo-ri, Mulgeum-eup, Yangsan 626-770, Korea. TEL: +82-55-360-2125, FAX: +82-55-360-2155, kuentak@pusan.ac.kr

Received 2 April 2010 Accepted 24 August 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We would like to report a case of treating a segmental fracture of ulnar shaft, with a concomitant olecranon fracture. The patient was treated using tension band wiring and intramedullary nailing procedures. Based on the nature of the olecranon, we believe this should be a recommended treatment method that minimizes complications for the patient that has multiple fractures and a dislocation of the forearm.

Keywords: multiple forearm fractures, intramedullary nailing, tension band wiring

Figures and Tables

Figure 1

Preoperative radiographs showed segmental fracture of ulnar shaft, olecranon fracture and radial shaft fracture with dislocation of radial head.

Figure 2

Postoperative radiographs showed olecranon fracture fixed with tension band wiring, and ulnar and radial shaft fractures fixed with contoured intramedullary nails.

Figure 3

Radiographs of postoperative 10 months showed complete union but heterotophic ossification occurred on tip area of olecranon and below of medial epicondyle (White arrow).

Figure 4

The patient underwent removal of heterotopic ossification & release of anterior and posterior capsule, adhesive tendon and muscle. Postoperative radiographs showed removal of heterotopic ossification.

Figure 5

All implants were removed at 19 months after operation.

References

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