Explore a case of an isolated ulnar shaft fracture, or ‘nightstick fracture.’ Learn why this specific injury should raise concern for a serious underlying cause.
A 60-year-old left-handed woman presented to the emergency department with pain in her left forearm. The arm was swollen and tender, especially with passive pronation and supination. The overlying skin was intact, and the results of neurovascular examination were normal. Radiographs of the left forearm were performed (upper image, anteroposterior view; lower image, lateral view). The findings should raise concern for which contributory factor?
What is the most likely diagnosis?
Assault, Forearm Injury, Nightstick Fracture, Non-accidental Injury, Orthopedics
