Executive Editor: Peter Trafton, Michael Baumgaertner

Authors: Peter Kloen, David Ring

Proximal forearm

Overview

Supine for anterior access i

This position can be indicated when there are additional hand or forearm injuries.

Supine for lateral access i

This position and approach provide good access to the lateral proximal forearm, but medial access is quite limited. Repair of some olecranon and coronoid fractures may be difficult. Consider a posterior skin incision allowing a more extensile approach, with the patient prone or lateral decubitus.

Lateral decubitus position i

The lateral decubitus position can be helpful for managing proximal forearm fractures, particularly for large patients or those with concurrent distal humerus fractures.

Supine for posterior access i

The majority of patients with isolated proximal forearm fracture can be positioned supine, with the arm across the chest, posterior exposure is enhanced.

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v2.0 2018-04-30