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Hand & Wrist · Fracture

Forearm Fracture

Diagnosis & treatment by Kevin O'Donnell, MD — Coral Gables, FL

Overview

A forearm fracture involves the radius and/or ulna, the two bones that allow the hand to rotate. In adults, both-bone forearm fractures are typically unstable and require plate fixation to restore alignment and rotation, since even small malalignment limits turning the palm up and down.

Common Symptoms

  • Pain, swelling, and deformity of the forearm
  • Inability to rotate the forearm or use the hand
  • Bruising and tenderness
  • A crooked or shortened appearance

Causes & Risk Factors

  • A fall onto an outstretched hand
  • A direct blow
  • Sports and motor-vehicle trauma

Treatment Options

  • Casting for select stable or pediatric fractures
  • Open reduction and plate fixation for displaced adult fractures
  • Hand therapy to restore rotation and grip
  • Protected motion during healing

Recovery & What to Expect

Forearm fractures can be slow to unite, often 10-12 weeks or more. Early motion of the fingers, elbow, and shoulder is encouraged, with strengthening and full loading after the bone has healed.

This page is for general education and is not a substitute for a medical evaluation. Treatment recommendations depend on your individual diagnosis and goals. Kevin O'Donnell, MD serves Coral Gables, Miami, Brickell, Pinecrest, Coconut Grove.