HE PATIENT 64-year-old woman presents after an injury to her left ondominant forearm sustained while she was out of own on vacation. Three weeks ago she stumbled and truck her forearm on the edge of a step. She experinced local pain and mild swelling. Records from the acility where she was evaluated on the day of injury ndicate that there was no wound or pain or tenderness t the wrist or elbow, and the neurovascular examinaion of the limb was intact. Limited radiographs of the istal forearm obtained on the day of injury demontrated a nondisplaced fracture of the ulnar diaphysis. he patient was assured that the fracture should heal ith minimal protection and was given a removable rist splint. Three weeks later, radiographs show 50% oss of apposition and 10° angulation with some callus ormation. The patient strongly prefers to avoid surgery ut is concerned about the appearance of the recent -ray.