Ulna Fracture Treatment in NYC - Manhattan PT

Ulna fractures can cause significant pain and disrupt your daily life, but effective treatment can help you recover and resume your usual activities. For the best results, it's essential to consult with skilled professionals. At Manhattan Physical Therapy in Midtown Manhattan, NYC, we provide personalized care designed specifically for ulna fractures, focusing on restoring full function and strength to your forearm.

Guided by our expert team, we deliver high-quality care that surpasses typical physical therapy. Our in-depth knowledge of forearm injuries has built a reputation for excellence and patient satisfaction. Don’t let an ulna fracture prevent you from enjoying life—contact us today at (680)-208-3884 to schedule your appointment.

What is an Ulna Fracture?

The ulna is one of the two long bones in the forearm, the other being the radius. An ulna fracture occurs when there is a break or cracks in this bone, typically due to trauma or injury. Ulna fractures can vary in severity, from hairline fractures to complete breaks, and they often occur in conjunction with fractures of the radius.

What Causes an Ulna Fracture?

Ulna fractures commonly result from various causes. Trauma, such as falls or direct blows to the forearm, is a frequent cause, often occurring during sports, accidents, or other physical activities. High-impact sports like football, rugby, and skateboarding also increase the risk of fractures due to falls or collisions. Repetitive stress from overuse or repetitive motions, especially in athletes or manual laborers, can lead to stress fractures in the ulna. Additionally, osteoporosis, which weakens bones, can make individuals more susceptible to fractures from minor falls.

What Are the Symptoms of an Ulna Fracture?

Recognizing the symptoms of an ulna fracture is crucial for timely diagnosis and treatment. One of the first signs is severe pain in the forearm, particularly near the elbow or wrist. Swelling and bruising around the fracture site are common; in some cases, the forearm may appear misshapen or out of alignment. Limited mobility in the wrist or elbow often occurs due to pain and swelling, and the area around the fracture may be tender to the touch.

How is an Ulna Fracture Diagnosed?

If you suspect you have an ulna fracture, it is crucial to seek medical attention promptly. At Manhattan Physical Therapy, we collaborate with orthopedic specialists to ensure accurate diagnosis and appropriate treatment. The diagnostic process typically involves:

• Physical Examination: A thorough assessment of the forearm, including evaluation of symptoms, range of motion, and pain levels.

• Imaging Tests: X-rays are commonly used to confirm the presence of a fracture and determine its severity. In some cases, additional imaging, such as MRI or CT scans, may be required for a comprehensive evaluation.

What Are the Treatment Options for Ulna Fractures?

Treatment for ulna fractures depends on the type and severity of the fracture. At Manhattan Physical Therapy, we offer a range of treatment options, focusing on non-surgical approaches to facilitate healing and rehabilitation.

Initial Treatment and Immobilization

Immediately after an ulna fracture, it is crucial to immobilize the arm to prevent further injury. This typically involves applying a splint or cast to keep the arm stable and protect the fracture site. The immobilization period usually lasts several weeks, depending on the severity of the fracture. Proper immobilization is essential for ensuring that the bone heals correctly and to prevent additional damage.

Pain Management

Effective pain management is a key component of ulna fracture treatment. Our team at Manhattan Physical Therapy may recommend several methods to alleviate discomfort. Ice therapy can be applied to the injured area to reduce swelling and numb the pain. Additionally, over-the-counter pain relievers, such as acetaminophen or ibuprofen, may be suggested to manage pain and inflammation. Proper pain management helps improve comfort and supports the healing process.

Physical Therapy

As the fracture begins to heal, physical therapy becomes an important part of the recovery process. Our skilled therapists will guide you through various rehabilitation techniques to aid in recovery. Gentle range-of-motion exercises will be introduced to improve flexibility and mobility in the forearm. Strengthening exercises will be incorporated as healing progresses to rebuild muscle strength and support the injured area. Functional training will also be provided to help you safely return to daily activities and sports-specific movements, ensuring a comprehensive recovery.

Surgical Treatment Options for Ulna Fractures

Surgical intervention for an ulna fracture becomes necessary when the injury is complex, displaced, or does not heal adequately with non-surgical methods. The primary goal of surgery is to realign the fractured bone, stabilize it, and promote proper healing.

One common surgical approach is Open Reduction and Internal Fixation (ORIF). This procedure involves making an incision to directly access the fractured bone. The surgeon then realigns the bone fragments and secures them in place using internal fixation devices such as plates, screws, or rods. ORIF allows for precise alignment and stabilization, which can lead to faster and more reliable healing, especially for significantly displaced fractures or those with multiple fragments.

Intramedullary Nailing is another surgical option where a metal rod is inserted into the central canal of the ulna through a small incision. This rod stabilizes the fracture from the inside, holding the bone fragments in place as they heal. Intramedullary nailing is less invasive compared to ORIF and is particularly suited for fractures located in the mid-shaft of the ulna, providing strong internal support.

In cases where internal fixation is not feasible, External Fixation may be employed. This technique involves placing metal pins or screws into the bone through the skin and connecting them to an external frame that stabilizes the fracture. External fixation is beneficial for complex fractures or when there is a high risk of infection. It allows for adjustments during the healing process and is often used as a temporary measure before additional surgery.

If the fracture has not healed properly or there is significant bone loss, Bone Grafting may be performed. This procedure involves taking bone tissue from another part of the body or using synthetic materials to promote bone growth and healing. Bone grafting can enhance the healing process by providing additional support and stimulating new bone growth, especially in cases where the fracture site is not healing as expected.

Contact Us 

To make an appointment, you are requested to call at 680-208-3884. Also, you can book your appointment online. Visit us here: 385 5th Avenue, Suite 503, New York, NY 10016.

Frequently Asked Questions

How Long Does a Fractured Ulna Take to Heal?

The healing time for a fractured ulna typically ranges from 6 to 8 weeks, depending on the fracture's severity and the treatment provided. More complex fractures or those requiring surgical intervention might take longer to heal. Proper immobilization and adherence to rehabilitation exercises are crucial for optimal recovery.

What is the Most Common Site of Fracture of the Ulna?

The most common site for an ulna fracture is the distal end, near the wrist, or the mid-shaft of the ulna. This type of fracture is often referred to as a "nightstick fracture," usually resulting from a direct blow to the forearm.

How Do I Know if My Fracture is not Healing?

Signs that a fracture may not be healing properly include persistent pain, swelling, or tenderness beyond the expected healing time. Other indicators include noticeable deformity or misalignment, difficulty moving the affected arm, and lack of progress in regaining function.

Can You Move Your Arm with an Ulna Fracture?

Movements of the arm can be limited or painful with an ulna fracture. The degree of mobility depends on the fracture's severity and the treatment received. While some movement might be possible, it's crucial to follow your healthcare provider's guidance to avoid aggravating the injury and to promote proper healing.

Do Ulna Fractures Need a Cast?

Yes, ulna fractures typically need a cast to ensure proper healing. Immobilizing the fractured bone with a cast helps stabilize the injury, preventing movement that could disrupt the healing process. The cast usually remains in place for several weeks, depending on the fracture's severity and location. In some cases, a splint might be used initially, but a full cast is often required for optimal recovery. Always follow your healthcare provider's recommendations for the type and duration of immobilization.