Both Radius Ulna fracture – Clinical features, Mechanism, Diagnosis, Treatment and Complications.

1. Clinical features :

1. Severe pain.
2. Swelling.
3. Deformity of the forearm.

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2. Mechanism :

1. RTA.
2. Fall from height.
3. Physical assault.

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3. Diagnosis :

Radiographs :

1. X-Ray – In AP, Lateral and Oblique view.
2. CT Scan – If X-Ray is not clear.
3. MRI – To see any vascular damage.

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4. Treatment :

A. Non-surgical treatment :

1. Undisplaced/Incomplete fracture – These are treated by immbolized by an above elbow plaster slab or cast.
2. Displaced fracture – These are treated by closed reduction by traction and counter traction methods providing general anaesthesia, and then giving above elbow plaster cast.

B. Surgical treatment :

1. Using ORIF(Open reduction and internal fixation) – Because it is challenging to restore length, apposition, axial alignment, and normal rotational alignment in adults with closed reduction, ORIF is employed in this population.
2. Implants – Incase of Ulna it is IM nail, or fixation plate and screw. Incase of Radius, compression plate is usually desired.

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5. Complications :

1. Non-union.
2. Mal-union.
3. Infection.
4. Volkmann ischemia.
5. Neurovascular injury.
6. Post-traumatic radio ulnar synostosis.

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