Surgical Discussion

Patient positioning:  Supine with and arm table

Anatomical surgical approach:  medial longitudinal biased to the anterior of the epicondylar line

The fragment was small, but contained the common flexor mass which proved stubborn to reduce. sequential reduction and radiological confirmation allowed a near anatomic reduction, with no rotational abnormalities. provisionally pinned with 2 wires, the ascending ulnar column wire was used for the placement of a cannulated screw which bit well. the hoizontal wire stayed as an orthogonal stabiliser.

Postoperative protocol:   4W above arm cast, 2 weeks NWB out of the cast, ROH around 6-8W.