Both bone forearm fractures

These fractures are relatively more common in children than adults because of differences in diaphyseal bone mechanics. Because of this, both bone forearm fractures in adults are more likely to be high energy open fractures than those seen in children. Traditionally, both bone forearm fractures in children are treated closed much more often than both bone forearm fractures in adults. In general, complications are more common and prognosis is worse for displaced fractures and for open fractures. On the average, nondisplaced fractures take six to eight weeks to heal, and displaced fractures take three to five months. Satisfactory functional end results may be expected in about eight out of ten patients with nondisplaced fractures and about one half of those with displaced fractures. Function may be most obviously affected with loss of pronation / supination, and as many as half of patients with both bone forearm fractures will have obv ious loss of forearm pronation, which may or may not be functionally significant. Loss of forearm rotation is most likely when fractures occur in the middle third of the forearm. Synostosis between the radius and ulna is much more common in proximal than in distal forearm fractures, occurring in about one out of fifteen patients with proximal fractures. Synostosis is also more likely in children, with open fractures, with single incision access to both to and forearm bones, and following high energy injuries. Nonunion occurs in as many as one out of ten patients. Early protected motion appears to improve the odds of satisfactory final motion. Internal or external fixation is usually indicated for open or very unstable fractures, accepting the risk that postsurgical infection may occur in as many as one out of twenty patients.

Both Bone Forearm Fracture
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