Pollock F H, Pankovich A M, Prieto J J, Lorenz M
J Bone Joint Surg Am. 1983 Mar;65(3):339-42.
The isolated fracture of the ulnar shaft is notorious for prolonged healing time. Over a twenty-seven-month period, seventy-one such fractures were treated at our institution. The initial twelve fractures were immobilized with the standard axilla-to-palm plaster cast. They had an average healing time of 10.5 weeks and a non-union rate of 8 per cent. The remaining fifty-nine fractures were treated without a cast or with a cast or splint for no longer than two weeks after injury and then mobilization as tolerated. In this group the average healing time was 6.7 weeks and there were no non-unions. The motion at the wrist and elbow was always regained, and the average loss of forearm rotation was 5 degrees.
尺骨干孤立性骨折因愈合时间长而声名狼藉。在27个月的时间里，我们机构共治疗了71例此类骨折。最初的12例骨折采用标准的腋窝至手掌石膏固定。它们的平均愈合时间为10.5周，骨不连率为8%。其余59例骨折受伤后未使用石膏固定，或使用石膏或夹板固定不超过两周，然后根据耐受情况进行活动。在这组病例中，平均愈合时间为6.7周，且无骨不连情况。腕关节和肘关节的活动总能恢复，前臂旋转平均丧失5度。
