Forearm fractures
The forearm is composed of two bones, the radius and ulna, which are connected by a firm interosseous membrane and ligaments at the elbow and wrist joints. Due to their intricate structure, defined by numerous curvatures, these bones constitute five joints. The forearm enables flexion and extension at the elbow and wrist joints, as well as the rotation of the hand (pronation and supination) through the movement of the radius around the ulna.
Forearm fractures are typically caused by a fall on an outstretched arm, resulting in a displaced fracture of both bones in the majority of cases. The forearm's complex anatomical structure and intricate ligamentous apparatus require a detailed and precise surgical repair to ensure full restoration of the limb function. Isolated fractures of one of the forearm bones are much less common and require a detailed examination of the ligamentous apparatus to rule out related injuries.
Causes
Fall supported on the hand with arm rotation
Sports injuries
Motorcycle injuries
Symptoms:
Severe forearm pain
Restricted mobility in the elbow or wrist joints
Soft tissue swelling and subcutaneous hematoma
Impaired finger movements, usually of the thumb and index finger
Feeling of bone mobility under the skin
Лечение
Nonsurgical treatment
This approach is applicable where there is a simple fracture without displacement or damage to the ligamentous apparatus. It may also be employed when the patient's condition contraindicates surgical intervention due to pre-existing disease affecting the patient's overall health. This treatment employs a two-stage immobilization. The initial stage involves 7-10 days bandage application, or until the swelling is reduced. Next, a circular bandage is applied, which remains fixed for a period of 6-8 weeks from the date of injury. Once the immobilization period is complete, the patient must proceed with rehabilitation. The objective is to restore the full range of motion in the joint and to strengthen the muscles of the shoulder, forearm, and hand. This helps prevent potential complications and restore proper limb function.
Surgical treatment
Surgery is indicated in cases of displaced fracture, open fracture, fracture of one bone with dislocation of the other (e.g., Galeazzi or Monteggia type injuries), and for the early functional rehabilitation of non-displaced fractures. The primary surgical treatment method is plate osteosynthesis. Complex bone anatomy requires the most accurate repositioning of the fragments and their secure fixation. We use advanced high-quality metal fixators for this purpose. The procedure is performed through two surgical accesses, which helps minimize the risks of complications. The patient can start rehabilitation immediately after the surgical intervention. Post-surgical wounds heal within 12-16 days, and swelling usually subsides in 2-3 weeks. Immobilization is usually not required, which allows movement recovery as soon as possible.
Rehabilitation:
The initial methods employed are intended to provide pain and swelling relief, with techniques such as cryotherapy and taping. As the tissues heal, massage techniques are incorporated into the treatment plan to enhance circulation and alleviate muscle tension. The subsequent stage is movement development, which is employed to help restore the full range of motion to the joints. The final stage of rehabilitation comprises exercises designed to strengthen the forearm muscles, which are crucial for restoring overall strength and limb function.
Schedule a visit to the clinic
How to reach
Moscow, 1st Yamskogo Polya Street, 15
Mon–Sun Around the clock
+7 495 255-50-03
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign