Ulnar and radial fractures

Question 1

How to fixate poximal fractures of the ulna?

Answer 1

Internal fixation with pin + tension band, lag screw or lateral or caudal plate

If comminuted: reconstruction with K-wires, lag screw and placement of neutralisation plate

Question 2

Classification of Monteggia fractures?

Answer 2

According to direction of radial head luxation:
Type 1: Cranial
Type 2: Caudal
Type 3: Lateral/craniolateral
Type 4: Lateral with concurrent radial fracture

Question 3

Treatment of Monteggia fractures?

Answer 3

reduction of luxation
stabilization of fracture

Question 4

Radial head fractures - transverse, proximal?

Answer 4

Open reduction and plate stabilisation

Question 5

Radial head fractures - articular?

Answer 5

Open reduction and stabilisation with lag screw
+/- K wires