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OrthoVellum

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Trauma
intermediate
X-Type

Both-Bone Forearm Fractures in Adults

Forearm Trauma

A 32-year-old motorcyclist sustains a direct blow to his right forearm in a collision. He presents with obvious forearm deformity, pain, and inability to rotate the forearm. Radiographs reveal transverse midshaft fractures of both radius and ulna with 10mm shortening, 15° apex volar angulation of the radius, and loss of the normal radial bow. The forearm compartments are soft. Neurovascular examination is intact. Regarding both-bone forearm fractures in adults:

Mark each as TRUE or FALSE

A

Anatomic restoration of the radial bow is critical for forearm rotation, particularly supination

B

Open reduction and internal fixation (ORIF) with plate fixation of both bones is the standard treatm...

C

At least 6 cortices of screw purchase (3 screws) on each side of the fracture are required for adequ...

D

The radius should be plated on the dorsal surface while the ulna is plated on the volar surface for ...

E

Forearm compartment syndrome is a significant risk following both-bone forearm fractures, particular...

Answer the questions to see explanations

Click T (True) or F (False) for each option