Ashton Fiona, Phadnis Joideep
University Hospitals Sussex NHS Trust, Royal Sussex County Hospital, Brighton, UK.
Brighton and Sussex Medical School, BSMS Teaching Building, University of Sussex, Brighton, UK.
Shoulder Elbow. 2025 Jun 20:17585732251348668. doi: 10.1177/17585732251348668.
Proximal ulna fracture dislocations (PUFDs) encompass a wide spectrum of injuries from relatively benign isolated ulna fractures to highly complex fractures with multiple osseous and ligamentous components. Classification of these injuries is challenging with few validated systems which generally focus on only one aspect of the injury. Surgical management of these injuries remains fraught with high rates of complications and poor long-term outcomes, and any subsequent salvage surgery is often extremely challenging. The aim of this review is to provide a framework for the evaluation and surgical management of these injuries using simple pathoanatomical principles where each key component of a PUFD is considered in turn, along with suggested surgical strategies and tips and tricks gleaned from the authors' clinical experience and available literature.
尺骨近端骨折脱位（PUFDs）涵盖了从相对良性的单纯尺骨骨折到具有多个骨和韧带成分的高度复杂骨折等广泛的损伤类型。这些损伤的分类具有挑战性，因为很少有经过验证的系统，而且这些系统通常只关注损伤的一个方面。这些损伤的手术治疗仍然充满高并发症发生率和不良的长期预后，任何后续的挽救手术往往极具挑战性。本综述的目的是提供一个框架，用于使用简单的病理解剖学原理对这些损伤进行评估和手术治疗，依次考虑PUFD的每个关键组成部分，同时提供从作者的临床经验和现有文献中收集的建议手术策略以及技巧。
