Treatment of Forearm Fractures

Fractures of the forearm represent common injuries. Understanding the anatomy and funkction of the radius, ulna, interosseous membrane, proximal and distal radioulnar joints is critical to appropriate management. Diagnosis can readily be made by examination and radiographs. Well established surgical approaches including the anterior Henry, dorsal Thompson, and ulnar approaches provide excellent access to both the radius and ulna. Multiple fracture patterns are recognized including isolated radius and ulna fractures, combined fractures, Galeazzi fractures, and Monteggia fractures. Surgical management regularly requires open reduction internal fixation with plates (DCP) and screws with vigilance being paid to stable reduction of the proximal and distal radioulnar joints. New directions in the management of forearm fractures include the use of intramedullary fixation and locking plate technology.