Fracture Of The Proximal Ulna In Association With An Ipsilateral Complex Distal Radius Fracture: A Case Report

Simultaneous ipsilateral distal and proximal fractures of the forearm are rare [1-3]. There have been case reports describing an olecranon fracture associated with an ipsilateral distal radius epiphyseal injury[1], a Monteggia lesion with an associated ipsilateral distal radius epiphyseal injury[4] or associated with ipsilateral distal radius and ulna metaphyseal fractures[5, 6]. Furthermore, there are limited numbers of cases describing concomitant lateral humeral epicondyle fractures in association with a Monteggia fracture[7, 8]. We describe the case of a child sustaining a displaced complex Salter Harris type II transepiphyseal fracture of the left distal radius in association with an ipsilateral simple proximal ulnar shaft fracture and undisplaced fractures of the ulna styloid and lateral epicondyle of the humerus. The management was to treat the distal radius and proximal ulnar shaft fracture with closed reduction and plaster application as two separate fractures, which resulted in a good outcome.