Childhood Forearm Fractures

These fractures are among the most common fractures during childhood and often develop as a result of falling from a high place onto the hand. In some cases, it presents as an incomplete (partial) fracture (greenstick fracture) which can be described as specific to the childhood, while in some cases it develops as a complete fracture as in the adults.

When the fracture occurs, severe swelling, tenderness and deformity of the forearm develop. In such case, the X-rays required by an orthopedist are analyzed for whether the fracture affects both bones in the forearm, how much curvature occurs, whether there is shortness in the bones, and whether the wrist or elbow is affected. After all these questions are answered, the treatment is planned according to certain criteria. The treatment can be performed via a simple reduction, or by using casting, as well as methods in which various implants are placed such as plate screw or wires after the corrections made by opening or not opening the fracture gap.

Possible post-treatment complications include re-fracture from the same region (up to 10%), partial limitation of movement in the forearm, particularly severe traumas, and subsequent compartment syndrome which is caused by excessive swelling and may affect the muscles and vascular nerves. The necessary measures are taken against all these complications. However, even if any complications occur, they are treated as well.