Abstract
Purpose of review: This paper reviews current treatment methods for fractures of the ulnar shaft and identifies recent contributions to the literature on this topic. Recent findings: Functional bracing is currently the preferred method of treatment for isolated ulnar shaft fractures with less than 10° to 15° of angulation and less than 50% translation between fragments. Displaced fractures are typically treated with compression plating although distal third fractures may require fixed angle devices or locking plates to ensure adequate distal fixation. The most commonly reported complications in the treatment of ulnar shaft fractures include compartment syndrome, nonunion, radioulnar synostosis, and refracture after hardware removal. Summary: Most simple diaphyseal fractures are treated conservatively, whereas complex injuries often require operative fixation. When appropriately treated, complications are rare.
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