Authors of section


Fergal Monsell, Dalia Sepulveda

General Editor

Chris Colton

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23-M/3.1   Metaphyseal, simple complete, both bones

This injury is usually caused by a fall onto an outstretched hand. Occasionally it is caused by a direct blow.

The injury is associated with local tenderness over the distal forearm or specifically over the distal radius/ulna. Local swelling is usual. Visible deformity is often present; this is usually posterior angulation (apex anterior), but may be anterior angulation.

Check elbow for tenderness and range.


X-ray shows complete fractures and direction of displacement.

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