Results of 70 consecutive ulnar nightstick XXXX .

@entity1 @entity130 @entity174
BACKGROUND: Adult isolated ulnar shaft @entity174 (IUSFs) are uncommon, and treatment remains controversial. The purpose of this study was to compare results of operative (reduction internal fixation (RIF)) and nonoperative treatment (NOT) in @entity1 with IUSF. MATERIAL AND METHODS: A retrospective case-control analysis was undertaken on @entity1 diagnosed with IUSF between 2002 and 2008 at a Level I teaching @entity130 center. Clinical outcomes consisted of complications and functional ability. RESULTS: Seventy @entity1 had a mean age of 44.6 years (18-86) and a body mass index (BMI) of 27.9 (17-47). The mechanism of injury included high-energy injuries (60/70, 85.7%), low-energy falls (8/70, 11.4%), and sports (2/70, 2.9%). Treatment consisted of 33/70 (47.1%) NOT and 37/70 (52.9%) RIF. The AO/OTA fracture classification was 48 A1, 20 B2, and two C1. The level of activity (LOA) was 60 without restrictions, six with restrictions, and three who did not return to work. The function determined by range of motion was 55/70 (78.6%) full, 11 slightly limited, and one severely limited. A total of 14 nonunions (NUs) and 17 malunions (MUs) occurred. NOT was associated with NU (  (2)=0.001) and MU (  (2)=0.000), respectively. @entity174 angulation >= 8   was related to the inability to return to previous LOA (  =0.406, p=0.001). Secondary displacement >2mm contributed to MU (R(2)=0.238, p=0.000) and NU (R(2)=0.076, p=0.021). NU was related to a minor functional result (  =0.315, p=0.009). CONCLUSIONS: IUSF treatment remains challenging in the adult population. Nonoperative treatment of displaced @entity174 produces a high risk of complications, and the fracture characteristics determine @entity1 outcome. LEVEL OF EVIDENCE: Level III.
