BMC Musculoskeletal Disorders (May 2023)

Post-traumatic distal ulnar bifurcation in children: a case report

  • Jia Wu,
  • Yong Zhu,
  • Zhang-Yuan Lin,
  • Shao-Hai Lin,
  • Shu-Shan Zhao,
  • Liang Cheng,
  • Bu-Hua Sun,
  • Hai-Tao Long

DOI
https://doi.org/10.1186/s12891-023-06494-8
Journal volume & issue
Vol. 24, no. 1
pp. 1 – 5

Abstract

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Abstract Background Galeazzi fracture dislocation is a compound injury that encompasses fractures of the distal third of the radius and dislocation of the distal radial ulnar joint (DRUJ). Clinically, this condition is rare and often leads to distal ulnar bifurcation. In previous similar reports, patients were effectively managed through surgery. Case presentation In this case report, we describe an 11-year-old male child who presented with an ulnar bifida following trauma to the hand, and was treated with manipulation and conservative treatment without surgery. A follow-up performed over the years demonstrated that the patient recovered well, and had normal wrist movements without significant pain, and the patient expressed great satisfaction. Conclusions Ulnar diaphyseal fracture may occur in children or adolescents due to injuries, and may be accompanied with manipulation and repositioning. Conservative treatment can be applied to avoid the trauma associated with surgery especially in the absence of severe joint mobility impairment with good outcomes.

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