Double Segmental/Trifocal Ulnar Fracture with Ipsilateral Proximal Radial Butterfly Fracture Segment - A Rare Forearm Injury

Abstract

Segmental forearm fractures are rare injuries in adults.1 Double segmental fractures/trifocal fractures are extremely rare,2 and guidelines regarding their management options are lacking in literature. We hereby report a rare case of a double segmental ulnar fracture (segmental ulnar shaft fracture with a concomitant communited olecranon fracture) with ipsilateral butterfly segment fracture of the radius. We used interfragmentary screws and 3.5 olecranon locking plate for proximal ulna and 3.5 DCP for distal ulnar fracture & radial fracture. Perusal of literature showed a single case report, which suggested intramedullary nailing for radius and ulna, along with tension band wiring for olecranon.3 Here we present the outcome in terms of union, grip strength and Range of motion.