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  • Formearm Fractures

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    Ngô Duy Long
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    Forearm fractures involve broken bones in the radius and ulna. They account for 15-20% of arm injuries and can occur in people of all ages from direct or indirect trauma. Forearm fractures can have various patterns including transverse, oblique, spiral or comminuted breaks and may cause displacements such as angulation, rotation or overriding of the bone fragments. Treatment options include closed reduction and casting or open reduction with nailing or plating depending on the severity of the fracture. Complications can include compartment syndrome, missed injuries, re-displacement of bones or infection.

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    Forearm fractures involve broken bones in the radius and ulna. They account for 15-20% of arm injuries and can occur in people of all ages from direct or indirect trauma. Forearm fractures can have various patterns including transverse, oblique, spiral or comminuted breaks and may cause displacements such as angulation, rotation or overriding of the bone fragments. Treatment options include closed reduction and casting or open reduction with nailing or plating depending on the severity of the fracture. Complications can include compartment syndrome, missed injuries, re-displacement of bones or infection.

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    4 views24 pages

    Formearm Fractures

    Uploaded by

    Ngô Duy Long
    Forearm fractures involve broken bones in the radius and ulna. They account for 15-20% of arm injuries and can occur in people of all ages from direct or indirect trauma. Forearm fractures can have various patterns including transverse, oblique, spiral or comminuted breaks and may cause displacements such as angulation, rotation or overriding of the bone fragments. Treatment options include closed reduction and casting or open reduction with nailing or plating depending on the severity of the fracture. Complications can include compartment syndrome, missed injuries, re-displacement of bones or infection.

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    of 24

    FOREARM FRACTURES

    Definition
    •Fracture of shaft radius & ulna bone

    •Not cancellous bone

    •Not anticular involvement

    •Not single radius or ulna fractures.

    •Closed fracture
    Definition

    •Fracture of ulnar shaft with dislocation of Proximal radioulnar


    joint: Monteggia fracture

    •Fracture of distal radius with dislocation of distal radioulnar


    joint: Galeazzi fracture
    Anatomy

    Radius & ulna


    Cross section

    •Flexors

    •Extensors

    •Vessels: radial, ulnar

    •Nerves: radial, ulnar, median


    Prevalence

    •Account for 15-20% Forearm injuries: 6% whole body


    fractures.

    •All age

    •Usually severe displacement, sometimes muscular


    interposition
    Mechanism of fractures
    Direct
    Indirect Trauma
    Mixed
    Segmental,
    third fragment
    Pathology of Fractures

    •Fracture lines: transverse, oblique, spiral, comminuted,


    segmental (radius & ulna)

    •Displacements:

    + Medial/ lateral + Distraction

    + Angulation + Rotation

    + Overriding
    Displacements

    Radius supination

    Ulna pronation
    Classification

    •After site: upper, middle, lower third

    •After age:

    •Plastic fracture

    •Greenstick
    Clinical findings
    •History, mechanism of trauma
    •Pain/ tenderness
    •Swelling
    •Deformity
    •Function loss
    •Bone crepitus
    Clinical findings

    •Nerve/ vessel evaluation

    •Other structures of skeletal muscular system

    •Other organs
    Imagery

    •Routine X-rays: AP/ Lateral view


    •CT Scan
    •MRI
    •Ultrasound
    Imagery
    Treatment
    Conservative

    •Anesthesia

    •Closed reduction

    •Plaster casting (from neck of metacarpal to axilla)


    Treatment
    Operative treatment

    •Current treatment of choice

    •Nailing or plate and screwing

    •Additional measures: arm sling, braces, back slab, or


    plaster casting
    Operative treatment
    Treatment of Forearm Fractures
    Treatment of Forearm Fractures
    Treatment of Forearm Fractures
    Complication
    •Compartment syndrome
    •Missed associated injuries
    •Secondary displacements
    •Postoperative infection
    •Volkmann muscular contracture
    THANKS

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