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What are Radial and Ulnar Shaft Fractures?
Radial and ulnar shaft fractures refer to breaks in the two long bones of the forearm—the radius (on the thumb side) and the ulna (on the little finger side). These fractures can occur in one or both bones and are often caused by high-energy trauma. Since the radius and ulna work together to allow rotation and stability of the forearm, such injuries can significantly impact arm function, requiring prompt diagnosis and treatment to ensure proper healing and alignment.
What are the Causes of Radial and Ulnar Shaft Fractures?
These fractures typically result from direct trauma or high-impact falls. Common causes include:
- Falls onto an outstretched hand (FOOSH), especially during sports or daily activities
- Motor vehicle or motorcycle accidents causing direct blows to the arm
- Sports injuries, such as collisions or contact sports
- Work-related or industrial accidents
- Direct trauma, such as being struck by an object or during physical altercations
What are the Symptoms of Radial and Ulnar Shaft Fractures?
Symptoms usually appear immediately and may include:
- Severe pain and swelling in the forearm
- Visible deformity or bending of the arm
- Tenderness over the fracture site
- Limited or painful forearm movement (especially rotation)
- Numbness or tingling, indicating possible nerve involvement
- Bruising or open wounds in case of compound fractures
How are Radial and Ulnar Shaft Fractures Diagnosed?
Diagnosis is made through a clinical examination to assess alignment, swelling, and neurovascular status. X-rays confirm the fracture type, displacement, and whether one or both bones are affected. CT scans may be used for complex or comminuted fractures.
What are the Treatment Options for Radial and Ulnar Shaft Fractures?
Treatment depends on the severity and displacement of the fracture:
- Non-surgical treatment: Stable, minimally displaced fractures may be managed with casting or bracing.
- Surgical treatment (ORIF): Displaced or unstable fractures usually require open reduction and internal fixation using plates and screws to restore alignment and forearm rotation.
Rehabilitation follows, focusing on motion, strength, and function, with most patients recovering fully within 3–6 months.
If you wish to be advised on the most appropriate treatment, please call to schedule an appointment or click to request an appointment online.
