General considerations

These are multifragmentary metaphyseal fractures of the ulna, involving neither the ulnocarpal nor distal radioulnar joints.
Nonoperative treatment - Cast | ||
Main indication | Skill | Equipment |
---|---|---|
Unfit or low-demand patient | ![]() |
![]() |

Indication
- Stable DRU joint
- Patient not fit for surgery
- Poor state of soft tissues
- Low-demand patient
Contraindication
- Unstable DRU joint
Disadvantage
-
Increased risk of long-term mobility loss
ORIF - Bridge plate | ||
Main indication | Skill | Equipment |
---|---|---|
All ulnar multifragmentary extraarticular fractures, where possible | ![]() |
![]() |

Contraindications
- Poor condition of overlying soft-tissue envelope
- Patient not fit for surgery
Advantages
- Early mobilization
- Healing in anatomical position
Note: For multifragmentary fractures of the neck of the ulna, consideration may have to be given to the use of a mini condylar plate.
ORIF - Hook plate | ||
Main indication | Skill | Equipment |
---|---|---|
All ulnar multifragmentary extraarticular fractures, where possible | ![]() |
![]() |

Contraindications
- Poor condition of overlying soft-tissue envelope
- Patient not fit for surgery
Advantages
- Better control of smaller distal fragments than with conventional plate
- Early mobilization
- Healing in anatomical position
Note: For multifragmentary fractures of the neck of the ulna, consideration may have to be given to the use of a mini condylar plate.
*Skill | |
---|---|
![]() |
Basic surgical experience, no specialized skills |
![]() |
Some specialized surgical experience |
![]() |
Highly experienced and skilled surgeon |
*Equipment | |
---|---|
![]() |
Basic equipment only |
![]() |
Simple surgical and imaging resources |
![]() |
Full specialized surgical and imaging resources |