Table of ContentsView AllTable of ContentsSymptomsCausesDiagnosisTreatment
Table of ContentsView All
View All
Table of Contents
Symptoms
Causes
Diagnosis
Treatment
A fracture of the ulnar styloid is a common type of wrist injury. This is a break at the end of theulna, or the bony part of your wrist next to your pinky finger. This part of your wrist is also called the ulnar styloid process.
This article discusses ulnar styloid fractures, what causes them, and how they are diagnosed and treated.
Jenny Dettrick / Getty Images

Symptoms of an Ulnar Styloid Fracture
The symptoms of a broken wrist, including an ulnar styloid fracture, include:
Common Causes of Ulnar Styloid Fractures
The most common cause of an ulnar styloid fracture, or any other wrist fracture, is falling onto an outstretched arm. This could happen while playing sports, when falling off a bike, during a car accident, or just falling hard when you trip over something.
Osteoporosis can increase your risk of an ulnar styloid fracture. This is because your bones are more likely to break, even with minor falls.
Ulnar styloid wrist fractures usually happen along with another break called a distal radius fracture, which is at the end of theradius. Distal radius fractures are the most common type of wrist fracture and account for up to 20% of all fractures treated in emergency departments.
At least half of these distal radius fractures also have ulnar styloid fractures.While distal radius fractures usually require a cast or surgery, ulnar styloid fractures may or may not require treatment.
Your healthcare provider will examine your wrist and order anX-rayto show how the bone is broken and whether any of the bones are displaced.Imaging from acomputed tomography (CT) scancan also help identify the cause of any pain in the wrist.
While distal radius fractures usually require realignment, a cast, or surgery, ulnar styloid fractures themselves usually don’t require treatment.
To help with any pain, your healthcare provider may recommend that you use Advil (ibuprofen) or Tylenol (acetaminophen). If pain is severe, your healthcare provider may suggest a prescription-strength pain medication.
One exception is when the distal radioulnar joint (DRUJ), which is between the ulna and radius, is unstable. In those cases, treating the unlar styloid fracture can improve outcomes. The ulnar styloid fracture may be treated withopen reduction and internal fixation, which is surgery to realign and immobilize the broken bones. Those cases are rare, though, and in most wrist fractures, the DRUJ is stable.
In most cases an ulnar styloid fracture doesn’t require special care. Your healthcare provider will instead be focused on treating the distal radius fracture, which may require surgery. Talk to your healthcare provider if your pain hasn’t started to improve within a few days.
Summary
An ulnar syloid fracture is a common type of wrist injury involving the end of the bony part of your wrist. It often occurs with a distal radius fracture.
This injury doesn’t usually require treatment, though if you also have a distal radius fracture you may need a cast or surgery.
A Word From Verywell
While an ulnar styloid fracture itself doesn’t usually require treatment, you should always check with your healthcare provider to get a correct diagnosis. If you have a wrist fracture, your healthcare provider will likely decide your treatment based on the injury to the radius bone, if applicable, rather than the ulnar styloid fracture.
4 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American Academy of Orthopaedic Surgeons.Distal radius fractures (broken wrist).Meena S, Sharma P, Sambharia AK, Dawar A.Fractures of distal radius: an overview.J Family Med Prim Care. 2014;3(4):325-32. doi:10.4103/2249-4863.148101Chen YX, Zheng X, Shi HF, et al.Will the untreated ulnar styloid fracture influence the outcome of unstable distal radial fracture treated with external fixation when the distal radioulnar joint is stable.BMC Musculoskelet Disord. 2013;14:186. doi:10.1186/1471-2474-14-186Gogna P, Selhi HS, Mohindra M, Singla R, Thora A, Yamin M.Ulnar styloid fracture in distal radius fractures managed with volar locking plates: to fix or not?J Hand Microsurg. 2014;6(2):53-8. doi:10.1007/s12593-014-0133-7
4 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American Academy of Orthopaedic Surgeons.Distal radius fractures (broken wrist).Meena S, Sharma P, Sambharia AK, Dawar A.Fractures of distal radius: an overview.J Family Med Prim Care. 2014;3(4):325-32. doi:10.4103/2249-4863.148101Chen YX, Zheng X, Shi HF, et al.Will the untreated ulnar styloid fracture influence the outcome of unstable distal radial fracture treated with external fixation when the distal radioulnar joint is stable.BMC Musculoskelet Disord. 2013;14:186. doi:10.1186/1471-2474-14-186Gogna P, Selhi HS, Mohindra M, Singla R, Thora A, Yamin M.Ulnar styloid fracture in distal radius fractures managed with volar locking plates: to fix or not?J Hand Microsurg. 2014;6(2):53-8. doi:10.1007/s12593-014-0133-7
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
American Academy of Orthopaedic Surgeons.Distal radius fractures (broken wrist).Meena S, Sharma P, Sambharia AK, Dawar A.Fractures of distal radius: an overview.J Family Med Prim Care. 2014;3(4):325-32. doi:10.4103/2249-4863.148101Chen YX, Zheng X, Shi HF, et al.Will the untreated ulnar styloid fracture influence the outcome of unstable distal radial fracture treated with external fixation when the distal radioulnar joint is stable.BMC Musculoskelet Disord. 2013;14:186. doi:10.1186/1471-2474-14-186Gogna P, Selhi HS, Mohindra M, Singla R, Thora A, Yamin M.Ulnar styloid fracture in distal radius fractures managed with volar locking plates: to fix or not?J Hand Microsurg. 2014;6(2):53-8. doi:10.1007/s12593-014-0133-7
American Academy of Orthopaedic Surgeons.Distal radius fractures (broken wrist).
Meena S, Sharma P, Sambharia AK, Dawar A.Fractures of distal radius: an overview.J Family Med Prim Care. 2014;3(4):325-32. doi:10.4103/2249-4863.148101
Chen YX, Zheng X, Shi HF, et al.Will the untreated ulnar styloid fracture influence the outcome of unstable distal radial fracture treated with external fixation when the distal radioulnar joint is stable.BMC Musculoskelet Disord. 2013;14:186. doi:10.1186/1471-2474-14-186
Gogna P, Selhi HS, Mohindra M, Singla R, Thora A, Yamin M.Ulnar styloid fracture in distal radius fractures managed with volar locking plates: to fix or not?J Hand Microsurg. 2014;6(2):53-8. doi:10.1007/s12593-014-0133-7
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