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Introduction

These fractures are usually posteriorly angulated (apex anterior) and whilst they can generally be reduced closed, occasionally impediments to reduction include periosteum, pronator quadratus and, rarely, the median nerve.

Anteriorly angulated (apex posterior) fractures are less common and are also generally reduced closed, but the extensor tendons occasionally impede reduction.

If closed reduction and limited open reduction are unsuccessful, open reduction is occasionally required.