Ulnar Styloid Fracture 813.43

 
ICD-9 Classification / Treatment
Etiology / Epidemiology / Natural History Associated Injuries / Differential Diagnosis
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References

synonyms:

Ulnar Styloid Fracture ICD-9

  • 813.43 Fracture of distal end of ulna; head lower end lower epiphysis styloid process

Ulnar Styloid Fracture Etiology / Epidemiology / Natural History

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Ulnar Styloid Fracture Anatomy

  •  Large ulnar styloid fractures include at least part fo the origin of the triangular fibrocartilage complex and may lead to radioulnar instability.

Ulnar Styloid Fracture Clinical Evaluation

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Ulnar Styloid Fracture Xray / Diagnositc Tests

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Ulnar Styloid Fracture Classification / Treatment

  • Nondisplaced
  • Displaced: involves >50% of the length of the styloid or displaced >2mm associated with DRUJ instability. (May MM, J Hand Surg 2002;27Am:965) Treatment = ORIF vs CRPP (k-wire, tension band, intraosseous suture)
  • Nonunion: Type-1 (DRUJ stable) =fracture through the tip of the styloid, treated with excision if symptomatic. Type-2(DRUJ unstable) = fracture through the base of the styloid, treated with ORIF and TFCC repair.( Hauck RM J Hand Surg 1996;21Am:418)
  • With associated distal radius fracture: unrepaired ulnar styloid fracture, even if displaced >2mm, does not influence function or outcome after ORIF of distal radius fractures (Souer JS, JBJS 2009;91A:830)

Ulnar Styloid Fracture Associated Injuries / Differential Diagnosis

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Ulnar Styloid Fracture Complications

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Ulnar Styloid Fracture Follow-up Care

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Ulnar Styloid Fracture Review References


 

 

 

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