Overview: The Forearm and Wrist are made up of the Radius, Ulna and carpal bones of the hand. Fractures of this area are often caused by a fall onto an outstretched upper extremity, a fall onto a hand or wrist, or a direct blow to the area.
Signs and Symptoms:
- Immediate pain, and swelling.
- A “pop” or “snap” is heard.
- A deformity at the site of the injury.
- Pain when using the affected arm.
Treatment: Fractures of upper extremities should be evaluated immediately. An evaluation will consist of physical examination, X-rays. The fracture may need to be reduced (put back in place) and splinted or casted. Depending on the location and success of reduction will determine if operative or non-operative treatment is necessary. Non-Operative management will likely involve casting or immobilizing for 4-6 weeks, followed by mobilization and physical therapy.
- Pre-Operative History and Physical.
- Pre-Operative screening labs.
- Pre-operative X-rays .
- Elevation of the injured extremity.
- Daily incisional care, keep incision clean and dry and replace the bandage daily, with a clean dressing.
- Pain medication when needed.
- Cast or splint to be worn every day.
- Post-op clinical visits for suture removal at 2-3 weeks after surgery.