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Forearm Case 3 ED Management

Nightstick Fracture

ED Management

These fractures should be placed in a long arm splint and referred to see orthopedics within one week.

Fractures with more than 50% of displacement and 10° of angulation require open reduction and internal fixation. For fractures to the distal third of the ulna with less than 50% displacement and 10° of angulation, the periosteum and interosseus membrane remain intact to restrain rotation.

Upon follow-up, these fractures will often be placed in a short arm cast for 6-8 weeks. Some advocate early mobilization of the wrist and elbow when the interosseus membrane is intact to limit rotation.