case_images: PMC11088802_01
case_images: (a) Pre-op X ray showing both bone fracture of forearm. (b) Post-operative X ray showing elastic stable intramedullary nailing in both radius and ulna. (c) X ray at 6-month follow-up showing nonunion of ulna. (d) X ray at 10 months showing spontaneous union of ulna.
case_images: 10.1177_2050313X241252747-fig1.jpg
case_images: PMC11088802_01_10.1177_2050313X241252747-fig1.jpg
case_images: fig1-2050313X241252747
case_images: He sustained a closed fracture of the left radius and ulna (American Orthopedic Pediatric Comprehensive Classification of Long Bone Fractures 21-D/4.1)   (Figure 1(a)). However, open reduction was needed for ulna and elastic nail was placed with usual technique (Figure 1(b)). Under regular follow-up, at 6 months, the radius united but the ulna developed a hypertrophic nonunion (Figure 1(c)). Ten months after the trauma, a bony consolidation without any axial malalignment could be documented (Figure 1(d)).