Post-traumatic distal ulnar bifurcation in children: a case report

Area of Science:

• Orthopedic surgery
• Pediatric trauma care

Background:

• Galeazzi fracture dislocation involves distal radius fractures and distal radioulnar joint instability.
• This rare injury often necessitates surgical intervention in reported cases.
• Distal ulnar bifurcation is a potential complication.

Observation:

• An 11-year-old male presented with ulnar bifida post-hand trauma.
• The patient underwent closed reduction and conservative management without surgical intervention.
• Long-term follow-up showed complete recovery with normal wrist function and minimal pain.

Findings:

• Conservative treatment, including manipulation and repositioning, can be effective for pediatric ulnar diaphyseal fractures.
• Successful non-operative management is achievable, even in cases with potential for joint instability.
• This case demonstrates favorable outcomes without surgical trauma.

Implications:

• Conservative management should be considered for pediatric Galeazzi fracture dislocations, particularly when joint mobility is not severely compromised.
• Non-operative approaches may offer a viable alternative to surgery, reducing patient trauma and recovery burden.
• This case expands the understanding of treatment options for pediatric forearm fractures with associated joint injuries.