Executive Editor: James Hunter

General Editor: Fergal Monsell

Authors: Andrew Howard, Peter Schmittenbecher, Theddy Slongo

Pediatric forearm shaft 22u-D/5

General considerations

These fractures are unstable if displaced and then require anatomical reduction and stable fixation.

Sufficient functional stability can be obtained with the following treatment options:

  1. ESIN: treatment of choice
  2. External fixator: for very unstable and comminuted fractures
  3. Plate osteosynthesis: in adolescents and young adults or need for more stability during healing

Note: Isolated ulnar fractures may be associated with proximal radio-ulnar joint subluxation/dislocation (Monteggia lesion).

Initial x-rays must be carefully evaluated to identify fractures of the radial head or neck.

Stability of the joint must be confirmed in every case, using an image intensifier if necessary.

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v1.0 2018-11-28