Here are some forearm injuries X-rays and photographs.
Image 1 – Radiograph Fracture of Both Bones of the forearm
Fractures of forearm bones are very common in pediatric and young age group. While in children they are amenable to closed reduction and plaster application, in adults they almost always require surgical treatment.
The image belongs to a 40 years old man who sustained trauma to left forearm when his motorbike collided with another vehicle. The man also had a fracture of pubic ramus along with this injury.
The patient was operated for his forearm injury and fracture pubic ramus was managed conservatively.
A noteworthy finding in this patient is that both the bones have been injured at the same level.
Image 2 – Xrays of Galeazzi Fracture
The x-ray in the picture belongs to a 35-year-old male who sustained this injury after falling from stairs. He had comminuted fracture of ulna and radial head dislocation. Not that radial head dislocation is visible in one view only. Therefore it is necessary to have x-rays in both planes.
Moreover, if the elbow region is not visible in the x-ray, it could have been simply treated as a fracture of the ulna, only to discover dislocation of the radial head later on. It is important to view one joint above and below the fracture.
Image 3 – Fracture of Distal Fourth of Radius and Ulna In 6 years Old Child
This is an x-ray of 6 years old child who suffered this injury when she slipped and fell on her hand.
The x-ray above is 5 days after closed reduction and plaster application.
These fractures respond very well to conservative treatment.
Image 4 – Fracture Of Radius Bone With Small Butterfly Fragment – Xray
43 years old mason fell from the height while working on a construction.
He presented with pain in right arm and swelling in the upper third of arm.
Xray revealed a fracture of the upper third of radius with a small comminuted fragment (butterfly) [As depicted by arrow]
The patient was offered open reduction and internal fixation with low contact dynamic compression plate but the patient refused any treatment.
Image 5 – Undisplaced Fracture Radius Ulna In A Child
Fractures of radius and ulna are very common in children. The following x-ray is of a nine-year-old male child who fell while playing.
He sustained an injury to right upper limb, the dominant limb.
The x-ray shows a fracture of shaft of radius and ulna. Also noted in the picture is Cramer wire splint.
The child was treated with plaster of Paris cast.
Image 6 – Xray of Fracture of Radius and Ulna Before and After Internal Fixation
22 years old female had an accident while she was driving a scooter that resulted in injury to her right [dominant limb] forearm. The examination also revealed posterior interosseous nerve palsy.
The fractures were fixed with locking compression plate for radius and low contact dynamic compression plate for ulna. The posterior interosseous nerve was found tethered between two fragments of radius but was intact.
The fracture united after 3 months and posterior interosseous nerve recovered completely.
Image 7 – Greenstick Fracture of Ulna With Minimally Displaced Fracture Of Radius In 3-Year-Old Child
Three years old girl fell from the bed and injured her forearm. Her x-ray showed the following picture.
The fractures were managed with above elbow plaster cast.
Image 8 – Fracture of Distal Third Of Radius And Ulna
Such fractures need anatomical reduction by open reduction and need to fixed by plating.
Image 9 – Clinical Photograph of Exposed Implant In Ulna Fixed With Plate and Screws
Following is a photograph of the forearm of 43 years old male who was operated for fracture in ulnar bone and in the postoperative period got infected.
The infection was controlled with help of debridement and antibiotics as per his available records and the plate got exposed.
The photograph reveals quite well the exposed ulna and the plate. An area in the middle shows the fracture line and the surrounding bone is devoid of any tissue cover.
Image 10 – AP Xray of Comminuted Fracture Ulna
Comminuted fractures are generally as a result of direct trauma to the bone. The following x-ray is the anteroposterior view of the forearm and is revealing fracture ulna. A comminuted fragment is seen in the ulnar fracture.
The patient was a young male and was managed with open reduction and closed reduction
Image 11 – Fracture of Ulna Distal End – Xrays
47 years old mason fell on the pavement and his forearm struck the pavement. He presented with swelling in the forearm and severe pain Xray of the forearm revealed fracture of the ulna.
The patient was treated by Above Elbow plaster cast. The fracture healed uneventfully.
Image 12 – United Fracture of Radius In a very Young Child
The following x-ray shows a fracture of radius bone united in slight angulation in a very young child.
Because the child is very young, such a deformity is expected to remodel very in due course of time.
Image 13 – Operated Fracture of Radius and Ulna With Dynamic Compression Plates In Situ
The following x-ray is of 28 years old male who was operated with dynamic compression plating.
The x-ray was taken after 4 weeks of surgery.
Image 14 – Operated Ipsilateral Fractures of Upper-End Ulna, Radial Head, Radial Shaft and Ulnar Shaft With Implant In Situ
The man with following x-ray cam to OPD for removal of a plate in the upper ulna as it caused discomfort to him. Other injuries in the same forearm were radial head which was fixed by miniplate, radial shaft fixed with locking plate and distal ulnar plate.
Image 15 – United Fractures Radius & Ulna With Dynamic Compression Plates In Situ
Operated united fractures of radius and ulna with dynamic compression plates in situ.
Both the fractures are very well united.
Image 16 – Fracture Shaft of Radius and Ulna – AP and Lateral Views
Ap and lateral views of the forearm of an adult showing fractures of the radius and ulnar shaft
Such fractures require operative treatment. Plating is the most common method employed for fixation.
Image 17 – Greenstick Fracture of Radius and Ulna In Eight Years Old Child
Greenstick fractures of radius and ulna in an eight years old child who fell from the bed.
The child was treated with reduction of the fracture and above elbow plaster cast.
Image 18 – Fracture Shaft of Ulna In Adult Skeleton- Xray
Fracture of shaft of the ulna in an adult skeleton.
Fracture is splinted with Cramer wire ladder splint.
Image 19 – Xray of Minimally Displaced Fracture of Ulna
The fracture was treated with conservative treatment but the patient was lost in follow up.
Image 20 – Xray of Reduced Fracture Radius and Ulna In 8 Yeas Old Child
Xray of Reduced Fracture Radius and Ulna In 8 Yeas Old Child
The x-ray was taken about a week after the reduction.
Image 21 – Malunited Fracture Radius Ulna In A Six Years Old Child
Xray of the forearm of a child with fracture radius and ulna treated conservatively with plaster of Paris cast. The fractured fragments have united in malposition.
The X-rays were taken 6 weeks after the injury
Image 23 – Xray of Fracture Of Radial Shaft In A Child
The patient was treated with closed reduction and above elbow cast.
Image 24 – Refracture of Radius and Ulna In Six years Old Child
Note previous bone formation in addition to fresh fracture.
Image 25 – AP and Lateral Views of Xray of Fracture of Radius and Ulna
Fracture of radius and ulna in a young adult.
The fracture occurred in a motor vehicle injury.
Image 26 – Xray of Missed, Malunited Fracture of Shaft of Radius In 10 Years old Child
Xray of ten years old child who came with a complaint of pain in the forearm.
The x-ray showed a malunited fracture of the radius bone [Arrow]. Retrospective questioning revealed a history of injury about 10 months ago but no treatment was taken and parents were not aware of bony nature of the injury.
Image 27 – Xray of Fracture Radius and Ulna In Ten Years Old Child
The following x-ray is of fracture of radius and ulna in 10 years old child who fell from the height.
The fracture was treated with closed reduction and above elbow cast.
Image 28 -Comminuted Fracture of Distal Part of Ulna
Image 29- Monteggia Fracture Dislocation
Image 30 – Gunshot Injury to Forearm
The gunshot has resulted in fracture of the radius. Pellets are also visible.
The patient has been treated with intramedullary nailing of the forearm.
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