Delayed Union of the Distal Ulna in a Child After Both Bone Forearm Fracture

ABSTRACT: Fractures of the distal third of the forearm are common in children. These  fractures are known to heal readily and rapidly. We describe a 10-year-old boy who had a  closed, lowenergy fracture of the distal radius and ulna. The radius healed promptly, but the  ipsilateral ulna had radiographic evidence of delayed union. We have not found a report of a  nonunion of this kind in the literature. With the increasing use of internal fixation and the lack  of guidance in the literature, we questioned the standard use of closed treatment. We treated  this patient nonoperatively, despite the delay in union, and the fracture healed in 4 months.