Incidence- 1%of all fractures

History

·       Tenderness &swelling of forearm

·       Deformity

·       Abnormal mobility & crepitus at fracture site

Diagnosis

·       Tenderness and swelling of forearm

·       Deformity

·       Abnormal mobility and crepitus at fracture site

Investigations

•           Routine radiographs of forearm with elbow and wrist in AP and Lateral view are helpful in diagnosis and to rule out injuries of joints above and below

•           Routine blood tests, chest x rays, ECG and ECHO performed for working up the patient for surgery

•           Doppler study done in case of suspected vascular injury

•           Thorough neurological examination done to rule out any nerve injury

Treatment

For undisplaced fractures

1.   Closed reduction and cast immobilization

2.   Functional bracing for weeks

For displaced fractures and nonunion or associated neurovascular injuries refer to higher centre for operative procedures where facilities are available