A forearm fracture is a partial or complete break in one or both the forearm bones. Forearm fractures happen most commonly to elderly and children.
How it is diagnosed?
A forearm fracture can cause visible deformity and pain. If you have been involved in an accident, it is important to take immediate medical treatment. To diagnose the injury, your doctor will question you about your medical history and the current trauma (if any) and will conduct a physical exam. One of the following tests will be done to know the level of the injury:
- X-ray (radiograph)- This is the most common test done to know the level of the injury. Electromagnetic radiation is sent by the arm to make an image of the structure of bone. this will demonstrate which bones have been displaced or broken in the trauma and if there are any bone parts that have come totally apart.
- Pulse test- In some cases, the flow of blood may be limited by the breakage, causing the hand to miss circulation. The doctor will test the wrist to determine the pulse and know if blood is still flowing to this body part.
Types of Treatment
The best treatment for fracture of forearm depends on various factors, including past and present health, age, the seriousness of fracture and history of patient’s medicines and other treatments.
In most of the forearm fracture cases, the surgery is needed to make sure that both the main bones (the ulna and the radius) return to normal function. However, most forearm fractures in adult and children generally affect only the ulna and may be treated without performing surgery. These treatments include immobilizing the arm with a splint or cast. If required, the doctor will guide the bones to realignment before placing the forearm in a cast.
The aim of most forearm fracture surgery is to hold the two bones in its position so that they return to normal function. Without anatomic alignment of the ulna and radius, forearm rotation will be severely restricted. Most forearm fractures are treated by one of the following manners:
- Screws and metal plates- The most common surgical treatment utilizes screws and metal plates on both the radius and ulna to hold them in place as they heal. This helps to stabilize the two bones, so they can function properly again. These bone plates and screws must be administered separately, often in need of two incisions.
- Metal rod- In some cases, a metal rod is placed from the center of the bone. This rod must be intended mainly for the forearm, otherwise, the rod could restrict the rotational abilities of the bone. For this reason, usually, this process isn’t performed.
- External rotation- When there is noteworthy damage to the tissue and skin surrounding the bone, making extra incisions may cause further damage. In this instance, external plates are screwed in to heal the bone without damage.
The forearm surgery is done using Orthopedic instruments. Siiora.lk has in its range of products both Implants as well as External fixator system and a large range of Instruments to complete the procedure.