Ulnar Styloid Fracture

Forced radial deviation, dorsiflexion, and rotatory stress fracture the ulnar styloid. The ulnar styloid fracture may be isolated or may accompany other injuries, such as Colles' fracture. Displaced fractures can be associated with tears of the triangular fibrocartilage complex, which is the main stabilizer of the distal radioulnar joint. These individuals complain of a painful clicking or locking sensation in the wrist.

Ulnar styloid fractures are treated acutely with a splint or cast in slight ulnar deviation and neutral positioning of the wrist. Arthrograms or MRI imaging may be necessary to delineate the full extent of these injuries.

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