Forearm Fractures

What are forearm fractures?

A fracture or break in the forearm bones generally occurs secondary to trauma, commonly from a fall from a standing height, but in some cases with higher energy injuries. These fractures can be simple 2 part fractures, but in some instances, the bone can fracture in multiple places. These breaks can either occur at the top of the radius and ulna (olecranon, radial head or neck fracture), in the middle (radius and ulna shaft fracture) or at the bottom, near the wrist (distal radius fracture).

What are the symptoms of forearm fractures?

Patients develop immediate pain and swelling and there can be a visible deformity or prominence of the fracture end under the skin. There can be associated damage to the nerves and blood vessels. The patient will have limited use of the arm in the acute phase and continued pain and potentially poor function until the fracture heals.

How is it diagnosed?

It is diagnosed by taking a careful history and performing a detailed examination. The surgeon will also look out for other associated injuries of the elbow or distal radio-ulnar joint, which can occur with any trauma in this area. X-ray, and CT imaging in selected cases, can be useful to exclude other potential injuries and to further assess the fracture, particularly in cases where surgical management is required. The investigations will help to inform the clinician and patient regarding the need for surgery.

How is it treated?

Treatment begins with symptomatic management using pain killers, and a sling, plaster cast or brace for support and to immobilise the fracture.

The displacement of the fracture, the location of the fracture and the degree of trauma associated with it help to guide the patient and clinician with regards to the need for surgery. The demands of the patient both for their occupation and for sporting activities are a key component of making this decision.

Options vary from sling management, plaster treatment, and surgery with either internal fixation with a plate, wiring, or all suture repair of the fractures. In some cases, a radial head replacement can be required. Surgery can provide the patient with a more predictable and earlier return to work and sporting activities and can lead to decreased pain, improved range of movement and function when indicated.  Postoperative physiotherapy is essential to ensure surgical success.

Our Specialists

LEADING SHOULDER + ELBOW CARE

Our team have broad experience in the successful treatment of a range of shoulder and elbow problems, addressing both young and sports related injuries as well as those relating to trauma, disease process and genetics.

Our team are well placed to manage and treat a diverse range of shoulder and elbow problems utilising cutting edge diagnostic technology and treatment approaches, both surgical and conservative. Below is an overview of some of the conditions we treat but for a more thorough understanding please contact our team here.

MR DAVID BUTT

MR DAVID BUTT

CONSULTANT SHOULDER + ELBOW SURGEON

MR W JAMES WHITE

MR W JAMES WHITE

CONSULTANT SHOULDER + ELBOW SURGEON

MR QUEN TANG

MR QUEN TANG

CONSULTANT SHOULDER + ELBOW SURGEON