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Executive Editor: Peter Trafton

Authors: Kodi Kojima, Steve Velkes

Proximal forearm 21-A1.1 Functional treatment

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Minimally displaced A1.1 fractures, without associated injury, can often be treated functionally, allowing light use as tolerated, but avoiding elbow extension against resistance.

Analgesia is given as needed.

A sling, with or without swath, may be used as needed, particularly at night, and removed as comfort permits.

If there is concern about the fracture displacement, follow-up with x-rays within 10-20 days is advisable.

Healing should be secure within 4-6 weeks, following which resistance exercises may begin.

A cuff and collar sling may be used as an adjuvant for pain control.

v1.0 2007-10-14