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
- Distal radius fractures
- Colles' fracture
- Smith fracture
- Barton fracture
- Radial styloid fracture
- Distal radioulnar joint disruption
- Radia ulna fracture
- Isolated radius fracture (proximal)
- Isolated ulna fracture (i.e. nightstick)
- Monteggia fracture-dislocation
- Galeazzi fracture-dislocation
- Forearm fracture (peds)
Evaluation
- Require full evaluation of DRUJ stability
- Assess distal pulse, motor, and sensation
- Forearm x-ray 2-view
Management
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Immobilization
- ED: Splint
Disposition
- Outpatient with orthopedic followup
Definitive Specialty Care
- Non-displaced: cast immobilization
- Displaced: Internal fixation
See Also
References
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