Forearm Fractures and Instabilities-Case-Forearm Fractures and Instabilities

Case-Forearm Fractures and Instabilities

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This document discusses the case of a 27-year-old male laborer who was initially seen after surgery for a forearm fracture sustained in a bicycle accident. The patient had full range of motion and was experiencing resolving symptoms of median neuropathy. However, he returned four months later following a motor vehicle accident with a long arm cast. The article suggests considering nonsurgical and surgical options for treatment, taking into account the patient's overall health and lifestyle factors such as smoking. It emphasizes the importance of proper imaging to assess the wrist and forearm, particularly the scaphoid-pisiform-capitate relationship on a lateral view radiograph. Other considerations include smoking cessation and addressing any nutritional deficiencies. The plan for this patient included a revision open reduction and internal fixation (ORIF) to restore the normal relationship between the radius and ulna, protect neurovascular structures, and allow for early range of motion. The document also mentions several pitfalls related to forearm fractures and instabilities, including Monteggia, Galeazzi, and Essex-Lopresti fracture dislocations. Overall, the goal is to restore stability, protect the surrounding structures, and facilitate a full recovery with unrestricted strengthening and a return to work.

Keywords

forearm fracture

median neuropathy

surgical options

smoking

wrist assessment

lateral view radiograph

smoking cessation

nutritional deficiencies

radius and ulna relationship

forearm fractures