Complete Fracture Radius/Ulna

Look carefully for associated fractures or dislocation (see Montaggia or Galeazzi)

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ACCEPTABLE ANGULATION

MID AND DISTAL THIRD FRACTURES

• <5 years - 20 degrees

• <10- 15 degrees 

• >10 years 10 degrees

PROXIMAL THIRD FRACTURES 

• <10 degrees

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MANAGEMENT

• Analgesia

• Above Elbow Cast- elbow at 90 degree flexion, three point moulding/ interosseous mounding.  Elbow at 90 degree flexion, mid-prone position.

• Fracture clinic

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REFER ORTHO IF:

• Open fracture

• Neurovascular injury

• Combined ULNA and RADIAL shaft fracture

• Forearm fractures with elbow or wrist dislocation (Monteggia/ Galeazzi)

• Unable to achieve acceptable alignment.

• Further fracture in same limb.

• Severe swelling/Compartment syndrome.

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