These fractures are unstable if displaced and then require anatomical reduction and stable fixation.
Sufficient functional stability can be obtained with the following treatment options:
- ESIN: treatment of choice
- External fixator: for very unstable and comminuted fractures
- Plate osteosynthesis: in adolescents and young adults or need for more stability during healing
Note: Isolated ulnar fractures may be associated with proximal radio-ulnar joint subluxation/dislocation (Monteggia lesion).
Initial x-rays must be carefully evaluated to identify fractures of the radial head or neck.
Stability of the joint must be confirmed in every case, using an image intensifier if necessary.