Isolated radius fracture (proximal)

Background

  • Rare
  • When occur, most are displaced
  • Compartment syndrome is rare
  • Occur from direct blow to forearm or FOOSH

Clinical Features

  • Pain/swelling, deformity
  • Point tenderness

Differential Diagnosis

Forearm Fractures

Evaluation

  • Require full evaluation of DRUJ stability
  • Assess distal pulse, motor, and sensation
  • Forearm x-ray 2-view

Management

General Fracture Management

Immobilization

  • ED: Splint

Disposition

  • Outpatient with orthopedic followup

Definitive Specialty Care

  • Non-displaced: cast immobilization
  • Displaced: Internal fixation

See Also

Forearm Fracture

References