Treatment for your child’s forearm fracture will depend on the type of fracture, as well as the age and development of your child. If your child sustains a forearm fracture that causes severe pain, breaks the skin, or damages growth plates, treatment should be sought immediately. Torus fracture: Commonly called a buckle fracture, this break compresses the top layer of bone and disrupts the growth plate in the forearm. In most cases, there is a break in the ulna, and the radius is dislocated at the wrist. Monteggia fracture: Both bones of the forearm are affected and this injury requires immediate care.Metaphyseal fracture: One or both forearm bones may be affected, but the fracture does not affect the growth plate.Injury to the growth plate can affect the future growth of your child’s bone. While either forearm bone may be affected, in most cases the fracture occurs in the radius, near the wrist. Growth plate fracture: Affects the layer of growing tissue near the ends of bones and requires immediate care.Greenstick fracture: One of the forearm bones bends and cracks, instead of breaking into separate pieces.In most cases, the radius is broken, and the ulna is dislocated at the wrist joint. Galeazzi fracture: Both bones in the forearm are affected.There are six types of forearm fractures in children: The way your child’s forearm breaks will determine its severity, recommended treatment, and how long it will take your child to recover. In most cases, both the radius and ulna bones will break together. Broken arms often occur while children are playing and fall unexpectedly.įractures of the forearm can occur near the joints of the wrist or elbow, or in the middle of the bone. There are two bones in the forearm: The radius bone is on the thumb side of the forearm the ulna bone is on the pinky finger side.įorearm fractures are among the most common broken bones during childhood. Treatment of radial head fractures depends on the specific characteristics of the fracture using the Mason classification.A broken forearm is a fracture of one or both of the bones that connect the elbow and the wrist. Radial head fractures may be difficult to visualize on initial imaging but should be suspected when there are limitations of elbow extension and supination following trauma. Combined fractures involving both the ulna and radius generally require surgical correction. These fractures are treated with immobilization or surgery, depending on the degree of displacement and angulation. Isolated midshaft ulna (nightstick) fractures are often caused by a direct blow to the forearm. It should be noted that these fractures may be complicated by a median nerve injury. A nondisplaced, or minimally displaced, distal radius fracture is initially treated with a sugar-tong splint, followed by a short-arm cast for a minimum of three weeks. In adults, distal radius fractures are the most common forearm fractures and are typically caused by a fall onto an outstretched hand. Depending on the degree of angulation, buckle and greenstick fractures can be managed with immobilization. Greenstick fractures, which have cortical disruption, are also common in children. Incomplete compression fractures without cortical disruption, called buckle (torus) fractures, are common in children. If initial imaging findings are negative and suspicion of fracture remains, splinting and repeat radiography in seven to 14 days should be performed. Evaluation with radiography or ultrasonography usually can confirm the diagnosis. A fall onto an outstretched hand is the most common mechanism of injury for fractures of the radius and ulna. Fractures of the radius and ulna are the most common fractures of the upper extremity, with distal fractures occurring more often than proximal fractures.
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