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Child with non union ulna, post cast removale, family history of nf1. Could this be the issue?

3 yr old female with non union ulna 4 months post cast removale (original fracture was a displaced fracture of the radius and ulna). Cast was on for 4 wks. At 1 mos f/u appt the arm looked good. 2 mos f/u dr noticed shifting of the ulna so it was casted again for 4wks. There is a family history of nf1 could this be the issue. Why would the arm heal and he regress.
Asked On : Tue, 16 Apr 2013
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Orthopaedic Surgeon 's  Response
Thanks for writing to us.
Non union of ulna 4 months after the injury in a 3 year old is a worrisome finding. Systemic metabolic disorders and chromosomal defects need to be ruled out after a detailed blood tests and other investigations.
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Dr. Praveen Tayal
Answered: Tue, 16 Apr 2013
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