← All decks
The first 25 slides, exactly as they appear. The full deck has 72 content slides.
Orthopaedics
Forearm
Built from Orthopedic Trauma Essentials
What’s inside
7 sections · 72 slides
Overview
- What this topic answers
- Two bones that work as one unit
- Radius and ulna, front and back
- The two named injuries
- Words you will meet
Monteggia: is the ulna enough?
Reduction of the ulnar fracture is called the key to treatment. This section asks how often that is true.
- What a Monteggia injury is
- Broken ulna with the radius out of joint
- Who gets it, and in what pattern
- The four Bado patterns
- The argument being settled
- The ring that holds the radial head
- The annular ligament seen from above
- How adults are treated
- Why the ulna is the key
- If the head stays out, look at the ulna again
- When perfect ulnar reduction is still not enough
- The other cause: something is in the way
- A decision path for the radial head
- What the published series showed
- The same story in children
- Ligament versus bone on the bench
- Testing it in the operating theatre
- Monteggia: what to remember
- Monteggia: when to do more
Galeazzi and the 7.5 cm rule
Can the position of the radial fracture tell you whether the wrist joint has come apart?
- What a Galeazzi injury is
- Radial shaft fracture with the wrist joint disrupted
- Why the wrist joint matters
- The joint at the wrist end
- Where the radius, ulna and wrist meet
- The rule under test
- Where along the radius the fracture sits
- Where the rule came from
- Radiographic signs that suggest the joint is disrupted
- Where the signs fail
- The study that tested the rule
- What that study found
- What the amount of shortening may mean
- Where the truth is found
- The 7.5 cm rule: what to remember
Wires across the joint, or a cast?
Once the radius is fixed and the DRUJ is still loose, what actually holds it while it heals?
- The problem on the table
- The operative sequence
- How the wires are used
- Kirschner wires beside a ruler
- How long the wires stay
- Numbers from the Rettig and Raskin series
- The case for a cast instead
- What can go wrong with wires
- Reducible but unstable, or just suspicious?
- Wires or cast: what to remember
Does the TFCC need repairing?
The cartilage sling on the ulnar side of the wrist is commonly torn in Galeazzi injuries. Stitch it, or leave it?
- What the TFCC does
- The debate
- The argument for leaving it alone
- Long-term follow-up without repair
- And the joint itself held up
- When repair was actually done
- Repair or leave it?
- TFCC repair: what to remember
The broken ulnar styloid
A small bony tip carries the ligaments that hold the wrist joint together. Does it need a screw?
- Why a small bone tip matters
- Which styloid fractures worry you
- Two camps
- The argument for fixing
- The argument against routine fixing
- Ulnar styloid: what to remember
Pulling it together
Five questions, one recurring answer.
- The thread running through all five answers
- Take-home messages
- 7.5 cm
- References
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- Orthopedic Trauma Essentials 2026