Adult Forearm Fractures
Overview
Adult forearm fractures are common orthopedic injuries that involve a break in one or both of the forearm bones—the radius and ulna. Falls, direct trauma, or accidents often cause these fractures, which can significantly affect arm function and daily activities.
Prompt evaluation and treatment by an orthopedic specialist can help ensure proper healing, restore movement, and prevent long-term complications.
What Are Adult Forearm Fractures?
Adult forearm fracture
Two bones—the radius and ulna—make up the forearm and work together to allow rotation and movement of the wrist and elbow. A fracture can affect either bone or both bones (known as a “both-bone forearm fracture”).
In adults, forearm fractures are often more serious than in children and typically require precise alignment to restore normal function. Without proper treatment, these injuries can lead to stiffness, loss of motion, or improper healing.
Common Symptoms of Adult Forearm Fractures
Symptoms of a forearm fracture usually occur immediately after injury and may include:
- Severe pain in the forearm
- Swelling and bruising
- Visible deformity or abnormal positioning of the arm
- Difficulty or inability to rotate the forearm (turning palm up or down)
- Pain with movement of the wrist or elbow
- Numbness or tingling if the injury affects nearby nerves
If you experience significant arm pain or notice deformity after an injury, seek immediate orthopedic evaluation.
Causes and Risk Factors
Trauma or high-impact events typically cause adult forearm fractures. Common causes include:
- Falls onto an outstretched hand
- Motor vehicle accidents
- Sports injuries or direct blows to the arm
- Workplace or industrial accidents
Certain factors may increase fracture risk:
- Osteoporosis or decreased bone density
- Participation in contact sports
- Advanced age
- Previous fractures or bone conditions
An orthopedic specialist at UTHealth Houston can evaluate your injury and identify any underlying risk factors.
How Are Adult Forearm Fractures Diagnosed?
An orthopedic provider begins the diagnosis with a physical examination and a discussion of how the injury occurred. During the exam, the provider will assess pain, swelling, deformity, and range of motion.
Imaging plays an important role in diagnosis. Providers typically use X-rays to confirm the fracture and determine its location and severity. In more complex cases, a provider may order a CT scan to better evaluate bone alignment and guide treatment planning.
Adult Forearm Fracture Treatment Options
Non-Surgical Treatments
Some stable, well-aligned forearm fractures may heal without surgery. Non-surgical treatment options include:
- Immobilization with a cast or splint
- Pain management with medications
- Activity restriction to allow healing
- Close follow-up with repeat imaging to ensure proper alignment
Surgical Treatment
Many adult forearm fractures require surgical intervention to restore proper alignment and function.
Surgical options may include:
- Open reduction and internal fixation (ORIF) using plates and screws
- Stabilization of both the radius and ulna if both bones are fractured
Surgery aims to precisely realign the bones, promote proper healing, and allow an earlier return to motion and function.
When to See an Orthopedic Specialist
Seek immediate orthopedic care if you experience:
- Severe pain after a fall or injury
- Visible deformity of the arm
- Inability to move the wrist, elbow, or forearm
- Numbness, tingling, or weakness in the hand
Early treatment can help prevent complications such as improper healing, chronic pain, or loss of motion.
Expert Orthopedic Care at UTHealth Houston Orthopedics
Our orthopedic hand surgeons can provide comprehensive evaluation and personalized treatment, from conservative care to advanced surgical options. If you’re experiencing wrist pain, hand numbness, or tingling, you can request an appointment (external link) to receive expert care and lasting relief.