Closed reduction; cast fixation
Main indication: Fracture manipulation leading to stable ulnar fracture and reduced and stable radiocapitellar joint possible
A well-molded cast is recommended to ensure maintenance of satisfactory ulnar reduction with stable and congruent radiocapitellar joint reduction.
Early radiological follow-up is necessary to check radial head position. If there is any doubt about reduction, operative treatment of the ulna is recommended.
Reduction of bowing and greenstick injuries of the ulna, whilst simultaneously maintaining stable reduction of the radial head is difficult to achieve.
- Radial head not perfectly reduced
- No requirement for implant removal
- Unstable radiocapitellar joint reduction
- High risk of displacement requiring additional general anesthetic and treatment
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|