Forearm Fractures in Children

The bones of the forearm are the radius and the ulna. If you hold your arm naturally by your side, the ulna is the bone closer to you and the radius is farther away.

Fractures of the forearm can occur near the wrist at the farthest (distal) end of the bone, in the middle of the forearm, or near the elbow at the top (proximal) end of the bone.

A child’s bones are also subject to a unique injury called a growth plate fracture.

Growth plates are made of cartilage near the ends of children’s bones. They help determine the length and shape of the mature bone.

Fractures of both bones in the forearm.

Fractures in a child’s bones begin to heal much more quickly than an adult’s bones. If you suspect a fracture, you should obtain prompt medical attention for the child so that the bones can be set for proper healing.

In most cases, a broken forearm causes severe pain. Your child’s forearm and hand may also feel numb.

During your first visit, your doctor will talk to you about your symptoms and medical history. During the physical examination, your doctor will check all the structures of your injury, and compare them to your non-injured anatomy.  Most injuries can be diagnosed with a thorough physical examination.

Imaging Tests Other tests which may help your doctor confirm your diagnosis include:

X-rays. Although they will not show any injury, x-rays can show whether the injury is associated with a broken bone.

Magnetic resonance imaging (MRI) scan. If your injury requires an MRI, this study is utilized to create a better image of soft tissues injuries. However, an MRI may not be required for your particular injury circumstance and will be ordered based on a thorough examination by your Peninsula Bone & Joint Clinic Orthopedic physician.

Nonsurgical Treatment

Treatment depends on the type of fracture and the degree of displacement.

Casts support and protect broken bones while they heal.

Some mild fractures, such as buckle fractures, may simply need the support of a splint or cast until they heal.

For more severe fractures that have become angled, your doctor may be able to push (manipulate) the bones into proper alignment without surgery, as long as the bones have not broken through the skin.

A stable fracture, such as a buckle fracture, may require 3 to 4 weeks in a cast. A more serious injury, such as a Monteggia fracture-dislocation, may need to be immobilized for 6 to 10 weeks.

Surgical Treatment

Surgery to align the bones and secure them in place may be required if:

• The skin is broken

• The fracture is unstable — the ends of the broken bones will not stay lined up

• Bone segments have been displaced

• The bones cannot be aligned properly through manipulation alone

• The bones have already begun to heal at an angle or in an improper position

• After the bones are aligned, the physician may use pins, metal implants, or a cast to hold them in place until they have healed.