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Middle Third Forearm Fractures Workup

  • Author: Janos P Ertl, MD; Chief Editor: Harris Gellman, MD  more...
 
Updated: Dec 19, 2014
 

Imaging Studies

Roentgenography in two planes (anteroposterior and lateral) is sufficient to evaluate forearm fractures and must include the wrist and elbow to rule out joint disruption. (See the images below.)

Anteroposterior radiograph of a displaced, midshafAnteroposterior radiograph of a displaced, midshaft both-bone forearm fracture in an adolescent with a transitional growth plate. This fracture should be treated as an adult injury.
Anteroposterior radiograph of an open middle thirdAnteroposterior radiograph of an open middle third fracture of the radius and ulna. The joints above and below the fracture are visible.
Lateral radiograph of a displaced, midshaft, both-Lateral radiograph of a displaced, midshaft, both-bone forearm fracture in an adolescent. Note that the alignment in this view appears to be adequate; however, the radius is short.
Lateral radiograph of an open middle third fracturLateral radiograph of an open middle third fracture of the radius and ulna. Note the proximity of the bones to soft tissue.
Middle third forearm fracture. Middle third forearm fracture.
Middle third forearm fracture. Middle third forearm fracture.

Computed tomography (CT) and magnetic resonance imaging (MRI) are seldom necessary and add little information with regard to the selection of treatment options.

 
 
Contributor Information and Disclosures
Author

Janos P Ertl, MD Assistant Professor, Department of Orthopedic Surgery, Indiana University School of Medicine; Chief of Orthopedic Surgery, Wishard Hospital; Chief, Sports Medicine and Arthroscopy, Indiana University School of Medicine

Janos P Ertl, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Association, Hungarian Medical Association of America, Sierra Sacramento Valley Medical Society

Disclosure: Nothing to disclose.

Coauthor(s)

William J Brackett, MD Research Assistant, Department of Orthopedic Surgery, Indiana University School of Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Robert J Nowinski, DO Clinical Assistant Professor of Orthopaedic Surgery, Ohio State University College of Medicine and Public Health, Ohio University College of Osteopathic Medicine; Private Practice, Orthopedic and Neurological Consultants, Inc, Columbus, Ohio

Robert J Nowinski, DO is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Medical Association, Ohio State Medical Association, Ohio Osteopathic Association, American College of Osteopathic Surgeons, American Osteopathic Association

Disclosure: Received grant/research funds from Tornier for other; Received honoraria from Tornier for speaking and teaching.

Chief Editor

Harris Gellman, MD Consulting Surgeon, Broward Hand Center; Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami, Leonard M Miller School of Medicine, Clinical Professor, Surgery, Nova Southeastern School of Medicine

Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, Arkansas Medical Society

Disclosure: Nothing to disclose.

Additional Contributors

Peter M Murray, MD Professor and Chair, Department of Orthopedic Surgery, Mayo Clinic College of Medicine; Director of Education, Mayo Foundation for Medical Education and Research, Jacksonville; Consultant, Department of Orthopedic Surgery, Mayo Clinic, Jacksonville; Consulting Staff, Nemours Children's Clinic and Wolfson's Children's Hospital

Peter M Murray, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Reconstructive Microsurgery, Orthopaedic Research Society, Society of Military Orthopaedic Surgeons, American Association for Hand Surgery, American Society for Surgery of the Hand, Florida Medical Association

Disclosure: Nothing to disclose.

References
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Anteroposterior radiograph of a displaced, midshaft both-bone forearm fracture in an adolescent with a transitional growth plate. This fracture should be treated as an adult injury.
Lateral radiograph of a displaced, midshaft, both-bone forearm fracture in an adolescent. Note that the alignment in this view appears to be adequate; however, the radius is short.
Anteroposterior radiograph of a completed open reduction and internal fixation (ORIF) of a middle third forearm fracture.
Lateral radiograph of an open middle third fracture of the radius and ulna. Note the proximity of the bones to soft tissue.
Anteroposterior radiograph of an open middle third fracture of the radius and ulna. The joints above and below the fracture are visible.
Anteroposterior radiograph of a completed fixation of a middle third forearm fracture.
Lateral radiograph of a completed open reduction and internal fixation (ORIF) of a middle third forearm fracture.
Middle third forearm fracture.
Middle third forearm fracture.
Middle third forearm fracture.
 
 
 
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