Komplikacije :

Kompartment sindrom: Compartment syndrome is a condition in which increased tissue pressure within a closed osteofascial compartment compromises blood flow to the muscles and nerves within that compartment, resulting in the potential for tissue and nerve damage (acute compartment syndrome), as well as in symptoms/disability (CECS).( http://emedicine.medscape.com/article/88014-overview) Th Fasciotomija

http://emedicine.medscape.com/article/824949-workup Anteroposterior and lateral views of the wrist, forearm, and elbow are required when forearm fracture is suspected from clinical findings. Forearm radiographs, which include distal joints, are inadequate for absolutely excluding associated wrist and elbow injuries, as diagnosis of radioulnar dislocation requires the x-ray beam to be centered at the joint.

Epidemiologija The literature provides few detail in regard to the incidence of fractures of the radius and ulna in adults. McQueen and his coworkers have comprehensively analyzed the incidence of forearm fractures seen at the trauma unit of the Royal Infirmary of Edinburgh over a 3-year period. This unit caters exclusively to adult trauma cases in a specified area and population and thus is a very good guide to the epidemiology of forearm fractures in a westernized country. The causes of injury included direct trauma, fall from a height, road traffic accidents, and sporting injuries. Unlike in other regions, injuries related to gunshots and firearms are not prevalent as a cause of injury in this region. Of the 2812 fractures, just 5% were diaphyseal forearm fractures, and an overwhelming majority of 76% were distal radius fractures.

Data from the National Hospital Ambulatory Medical Care Survey show that radius and/or ulna fractures account for 44% of all forearm and hand fractures in the United States.[2] http://emedicine.medscape.com/article/1239187-overview#a0199 Klinika slika http://emedicine.medscape.com/article/1239187-overview#a0112

PresentationNondisplaced diaphyseal fractures of the shafts of both bones of the forearm are rare, and the deformity is often obvious, with the patient supporting the deformed and injured limb with the other hand. The symptoms include pain, deformity, and loss of function of the forearm. In these cases, excessive manipulation of the arm should be avoided to prevent further damage to the soft tissues.

Indikacije za hirurku intervenciju kod odraslih All displaced adult forearm fractures should be stabilized because no other means of management is available that provides a comparable result. The following are specific indications for operative treatment:

Fracture of both bones (ie, radius and ulna) Fracture dislocations, Monteggia fracture dislocations, and Galeazzi fracture dislocations Isolated radius fractures Displaced ulnar shaft fractures Delayed union or nonunion Open fractures Fractures associated with a compartment syndrome, irrespective of the extent of displacement Multiple fractures in the same extremity, segmental fractures, and floating elbow Pathologic fractures http://emedicine.medscape.com/article/1239187-overview#a03

rtg praenje Follow-up of these patients with radiography in both planes at weekly intervals for the first 4 weeks is mandatory to detect early displacement of the fracture. http://emedicine.medscape.com/article/1239187-treatment