Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment questions for doctor specialist Home Care pain in adults pain in children ring removal warning signs Complications Underlying Cause Types Anatomy

Fractured Radius Home Care

Home care for a forearm fracture may include:

  • Emergency arm splint
  • Apply a cold compress:
    • Wrap ice in a moist hand towel. Do not apply ice directly to the skin.
    • Apply for 20-30 minutes, every 1-2 hours, for the first few days.
  • With some forearm injuries you may wish to wear a sling for comfort:
    • Long term immobilization in a sling can lead to frozen shoulder.
    • If you wear a shoulder sling for longer than two weeks make sure you perform shoulder range of motion exercises twice a day to avoid frozen shoulder.
  • Do not use your arm until your doctor directs you to do so.
  • Follow your doctor's care instructions for your cast or splint.
  • Follow cast care instructions.
  • Follow splint care instructions.
  • Elevate your arm:
    • Above your heart if possible.
  • Acetaminophen for pain
  • Nonsteroidal anti-inflammatory medications for pain:
  • Take prescribed medications as directed:
    • Don't skip doses of your medication. This makes them less effective.
    • Be aware of the common side effects that may be caused by your medication.

Fractured Radius Pain in Adults

Medications commonly used to control pain and inflammation in adults with a forearm fracture include:


Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.

Aspirin

Ibuprofen

Naproxen

Ketoprofen

NSAID Precautions

Fractured Radius Pain in Children

Common medications used at home for pain in children with a forearm fracture include:


Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.

Ibuprofen

Naproxen

Fractured Radius Ring Removal

Remove rings immediately after a forearm fracture, because it is difficult to remove the ring if the finger becomes swollen. Sometimes, the finger becomes so swollen that the ring must be removed with a ring cutter. The following will help you remove a ring from a swollen finger.

Ring Removal

  • Elevate the finger above the heart and apply a cold compress for 15-20 minutes.
  • Lubricate the ring:
    • Apply soapy water to the ring.
  • Ask another person to pull the skin tightly away from the ring, and then try to twist the ring off gently.
    • Stop if this causes pain or skin damage.
  • If this does not work, loop a piece of thin string or ribbon under the ring on both sides of the finger. Ask another person to grab the ends of both strings. Have the person pull equally on the ends of each string, while you gently twist the ring.

Reducing Finger Swelling
In order to reduce finger swelling, you may wrap a wide rubber band around the finger. Start at the tip of the finger and wrap towards the ring. Overlap the edges of the rubber band as you wrap the finger. After 5 minutes, remove the rubber band and try to remove the ring.

Do not wrap the finger with a rubber band if:

Seek medical care immediately for:

Fractured Radius Warning Signs

Notify your doctor if you have a forearm fracture and any of the following:

Continue to Fractured Radius Complications

Last Updated: Feb 23, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Fractured Radius References
  1. Goldfarb CA, Ricci WM, Tull F, Ray D, Borrelli J Jr. Functional outcome after fracture of both bones of the forearm. J Bone Joint Surg Br. 2005 Mar;87(3):374-9. [15773649]
  2. Kelsey JL, Prill MM, Keegan TH, Tanner HE, Bernstein AL, Quesenberry CP Jr, Sidney S. Reducing the risk for distal forearm fracture: preserve bone mass, slow down, and don't fall! Osteoporos Int. 2005 Jun;16(6):681-90. [15517189]
  3. Oskam J, Kingma J, Klasen HJ. Fracture of the distal forearm: epidemiological developments in the period 1971-1995. Injury. 1998 Jun;29(5):353-5. [9813678]
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