Introduction

Isolated distal ulna fractures are rare, they are mostly found in association with distal radius fractures. Most of distal ulnar metaphyseal fractures are associated with distal radius fractures and this incidence tends to be greater in osteoporotic elderly and more than
half of distal radius fractures are combined with an ulnar styloid fracture. There is no clear consensus on how fractures of the distal ulna associated with distal radius should be treated, and there are currently very few data on healing rate, results of different treatment options, and functional results.

Aim of the work
The aim of this work is to identify the incidence of occurrence of distal ulnar fractures among patients with distal radius fractures at El Hadra University Hospital and to assess the functional outcome after surgical and nonsurgical management of distal ulnar fractures.

Patients and methods
This is a prospective study. 346 patients with distal radius fractures admitted in a period of 6 months (from January 2021 to June 2021) were included in this study to identify the incidence of occurrence of distal ulnar fractures among patients with distal radius fractures at El Hadra University Hospital. 173 patients with distal ulnar fractures associated with distal radius fractures were followed up for at least 6 months and reviewed to evaluate the functional outcome. The mean age was51.29 ± 15.98 . 80 Patients were males and 90 were females. The functional outcome was evaluated by modified mayo wrist score and patient rated wrist evaluation score.