Operative Treatment for Isolated Distal Ulnar Shaft Fracture

This study retrospectively evaluated the effectiveness of an open reduction and internal fixation of a tension band wiring technique for treating displaced or unstable comminuted distal ulnar shaft fractures without a radial fracture. Ten patients were treated for an isolated distal ulnar shaft fracture. There were 6 cases of a fracture 2.5 cm below the lower end of the ulna, and 4 cases with the fracture being 2.5 cm to 5 cm away from the lower end of the ulna. The authors classified the fractures of the distal ulnar into 3 types: a type I-simple fracture, a type II-comminuted fracture without a distal radioulnar joint (DRUJ) involvement, and a type III- comminuted fracture with DRUJ involvement. There were 3 cases of a type I fracture, 4 of type II and 3 of type III. The open reduction and internal fixation using tension band wiring were performed in 10 of these cases. After the operation, the wrist was placed in a cast for six weeks before active movement was allowed. The clinical results were excellent in 7 cases, good in 2 and poor in 1. In conclusion, tension band wiring surgery is recommended for treating an isolated distal ulnar with unreduced displaced fractures, in a comminuted fracture that cannot be maintained by a closed reduction and when there is the potential encroachment of fracture fragments in the DRUJ.

A case of disruption of symphysis pubis diagnosed after delivery of a primigravida / 대한산부인과학회잡지

Peripartum pubic symphysis separation is a recognized complication of delivery with incidence ranging 1:300 to 1:30,0002,4-6. The underlying etiology of symptomatic symphyseal separation has not fully elucidated. Diagnosis is mostly based on clinical findings. Complete recovery was made only by analgesics and physical therapy. The occurrence of symphyseal separation does not necessitate an alteration in the management of subsequent pregnancy7. We have experienced a case of disruption of symphysis pubis during labor supposed to be caused by too rapid labor course. Details regarding this case and a review of the literature are presented.