TY - JOUR AU - Miyamoto, Hideaki; Sasaki, Gen; Kurozumi, Taketo; Watanabe, Yoshinobu TI - Conservative Treatment of an Intra-Articular Shear Fracture of the Ulnar Head SN - 2163-3916 SN - 2163-3924 PY - 2019 JO - J Wrist Surg JF - Journal of Wrist Surgery LA - EN VL - 08 IS - 05 SP - 426 EP - 429 ET - 2019/01/10 DA - 2019/10/01 KW - conservative treatment KW - intra-articular fracture KW - shear fracture KW - ulnar head fracture AB - Background Isolated intra-articular fracture of the ulnar head is rare.Case Description A 59-year-old woman experienced an ulnar head fracture involving the distal radioulnar joint after a fall at ground level. The intra-articular fragment of the ulnar head was rotated into anatomical alignment with an above-elbow cast in 90° of supination for 4 weeks. A below-elbow night splint was retained for 2 additional weeks. Twelve months post-injury, full active motion and bone union were achieved.Literature Review Only three studies have reported treatment of isolated intra-articular ulnar head fractures, and in all cases open reduction and internal fixation were performed.Clinical Relevance Our report demonstrated good results for the conservative treatment of an intra-articular ulnar head shear fracture, with early recovery of forearm rotation and wrist function. PB - Thieme Medical Publishers DO - 10.1055/s-0038-1677533 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0038-1677533 ER -