Both Bone Fracture of the Forearm
A both-bone forearm fracture involves breaks in both the long bones of the forearm, the radius and ulna, leading to pain, deformity, and loss of arm function. Surgical stabilization is often required to realign the bones and restore strength, motion, and proper healing. The hand and upper extremity specialists at The Hand, Wrist, and Elbow institute with offices in Chicago, Illinois and the surrounding regions provide expert diagnosis and personalized care for both bone forearm fractures using advanced surgical and nonsurgical interventions with individualized rehabilitation. Call The Hand, Wrist and Elbow institute to make an appointment at any one of our convenient locations and experience state-of-the-art care with compassion.
What is a Both Bone Fracture of the Forearm?
A both bone fracture of the forearm occurs when both the radius and ulna—the two long bones in the forearm—are broken. These fractures are considered complex and serious because the radius and ulna work together to allow rotation and stability of the forearm and wrist. This injury often results in significant loss of function, pain, and deformity, and typically requires prompt medical treatment to restore normal alignment and function.
Causes of Both Bone Fractures of the Forearm
These fractures are usually caused by high-energy trauma or direct impact. Common causes include:
- Falls on an outstretched arm: A common mechanism in children and adults, especially during sports or slips.
- Motor vehicle accidents: The force of impact can easily fracture both bones.
- Sports injuries: Contact sports and activities involving falls (e.g., skateboarding, skiing) pose higher risk.
- Direct blows to the forearm: Often seen in physical altercations or accidents involving heavy equipment.
- Twisting injuries: Forceful rotational movements can also contribute to complex forearm fractures.
What are the Symptoms of Both Bone Forearm Fractures?
Because both major bones are affected, symptoms are typically severe and obvious. They may include:
- Severe pain in the forearm, especially with movement
- Visible deformity or angulation of the forearm
- Swelling and bruising
- Loss of ability to rotate the forearm or bend the elbow
- Grinding or popping sensations
- Numbness or tingling, if nerves are affected
- Open wound or visible bone, in the case of open (compound) fractures
How is a Both Bone Fracture Diagnosed?
A physician will begin with a physical examination and then confirm the diagnosis with imaging:
- X-rays of the entire forearm, wrist, and elbow to assess fracture type, displacement, and alignment
- CT scan in complex or joint-involving cases to evaluate exact fracture patterns
- Neurovascular assessment to ensure there is no injury to nerves or blood vessels
What are the Treatment Options for Both Bone Fractures?
Treatment is based on age, fracture severity, and displacement:
- Children: May be treated with closed reduction and casting if the bones are aligned well.
- Adults: Typically require surgical intervention (ORIF) using metal plates and screws to restore alignment and stability.
- Rehabilitation: Physical therapy is essential for regaining full range of motion and strength after immobilization or surgery.