[28] Radial and Ulna Shaft Fractures

Question 1

What is a Monteggia fracture?

Answer 1

A fracture of the proximal 3rd of the ulna shaft with anterior dislocation of the radial head at the capitellum

Question 2

What nerve involvement might there be in a Monteggia fracture?

Answer 2

Palsy of the deep branch of the radial nerve

Question 3

What might a palsy of the deep branch of the radial nerve lead to?

Answer 3

Weak finger extension

No sensory loss

Question 4

What is a galleazzi fracture?

Answer 4

A fracture of the radial shaft between the mid and distal 3rd, with dislocation of the distal radio-ulnar joint

Question 5

How should unstable radial and ulna shaft fractures be managed in adults?

Answer 5

Oral reduction and internal fixation

Question 6

How should unstable radial and ulna shaft fractures be managed in children?

Answer 6

Manipulation under anaesthesia and above elbow plaster

Question 7

How should fractures of the forearm be plastered?

Answer 7

In the most stable position

Question 8

What is the most stable position for the plastering of a proximal forearm fracture?

Answer 8

Supation

Question 9

What is the most stable position for the plastering of a distal forearm fracture?

Answer 9

Pronation

Question 10

What is the most stable position for the plastering of a mid-shaft forearm fracture?

Answer 10

Neutral