CURRENT CONCEPTS IN ADULTS UPPER EXTREMITY FRACTURES

21452Ugur_TiftikciCurrent_Consept_in_adults.kapak

REHABILITATION PROTOCOLS FOR FOREARM FRACTURES

Hasan İşsiz

Niğde Ömer Halisdemir Training and Research Hospital, Department of Orthopedics and Traumatology, Niğde, Türkiye

İşsiz H. Rehabilitation Protocols for Forearm Fractures. In: Tiftikçi U, Erdoğan E, Ergün C, Güneş Z, editors. Current Concepts in Adults Upper Extremity Fractures. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.357-361.

ABSTRACT

Positions of the radius and ulna in relation to each other directly affect hand functions. For this reason, forearm diaphyseal fractures are more important than other diaphyseal fractures. Forearm fractures are often seen after traffic accidents, falls from heights, and direct blows. Forearm fractures can be classified according to the fracture site as; forearm double fractures, isolated radius diaphyseal fractures, isolated ulna diaphyseal fractures, Monteggia fractures and Galeazzi fractures. The aim of treating forearm fractures is to prevent functional loss by ensuring appropriate axial and rotational alignment. In fracture rehabilitation; range of motion exercises, simple strengthening exercises, strong strengthening exercises and fracture-specific functional exercises are used. Hydrotherapy, electrical stimulation therapy, fluidotherapy, hot and cold heat therapy can also be applied in fracture rehabilitation. In forearm fracture rehabilitation, full supination, pronation and maximum wrist movements are targeted and muscle strength is increased. Forearm fractures, rehabilitation is expected to last between 12-24 weeks. Period may be longer for specific fractures such as Monteggia and Galeazzi fractures. In accelerated rehabilitation protocols, the rehabilitation program is expected to be completed in the sixth week. Quality of fixation in forearm fractures affects rehabilitation protocols. If rigid fixation is performed, movement and strengthening exercises are started early. In non-rigid fixations and conservative treatments, rehabilitation is delayed until fracture healing occurs.

Keywords: Rehabilitation; Exercise therapy; Radius fractures; Ulna fractures; Monteggia’s fracture; Galeazzi fracture

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