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The Journal of Bone & Joint Surgery British Volume
Vol. 89-B, Issue 6 | Pages 836 - 838
1 Jun 2007
Grechenig W Clement H Pichler W Tesch NP Windisch G

We have investigated the anatomy of the proximal part of the ulna to assess its influence on the use of plates in the management of fractures at this site. We examined 54 specimens from cadavers. The mean varus angulation in the proximal third was 17.5° (11° to 23°) and the mean anterior deviation 4.5° (1° to 14°). These variations must be considered when applying plates to the dorsal surface of the ulna for Monteggia-type fractures. A pre-operative radiograph of the contralateral elbow may also be of value.