Fergal Monsell, Dalia Sepulveda
This is an uncommon fracture that is caused by a fall onto an outstretched hand.
This fracture is associated with local tenderness over the distal ulna. Local swelling is usual.
Check for signs of ulnar nerve deficit.
Note: Be aware of nonaccidental injury in infants with a very subtle metaphyseal component.
X-ray shows the fracture, direction of displacement and the size of the metaphyseal fragment.