PMC3825966_01
Radiographs post injury and post operatively.
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He was treated with a volar buttress plate (Fig. 1).
Six week follow up radiograph.
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At 6 weeks follow up radiographs showed a healing distal radius but a deformity at the distal radio-ulnar joint (DRUJ) was also noted (Fig. 2).
3D CT reconstruction of left wrist showing Y-shaped bifid distal ulna.
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The CT scan (Fig. 3) showed an anomaly of a bifid distal end of ulna.
Intraoperative fluoroscopy left wrist post repair.
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The larger dorsal component blocked rotation and as its preservation would have required a volar closing wedge osteotomy with ulna plating it was decided to excise it (Fig. 4).