ABSTRACT
Diaphyseal forearm fractures are uncommon in the elderly. Most fractures are treated operatively, especially if both the ulna and the radius are fractured. Diaphyseal fractures of the forearm usually result from an axial load applied to the forearm through the hand. Most diaphyseal forearm fractures in adults are unstable and benefit from splint immobilization for comfort prior to surgery. Because diaphyseal bone fractures and isolated radial shaft fractures are usually unstable there is little role for nonoperative treatment. Many adverse events that are associated with high energy open forearm fractures are uncommon in the elderly. Diaphyseal forearm fractures are treated with plate and screw fixation to restore alignment and provide sufficient stability to allow immediate functional use of the arm. In elderly patients, locking plates can be helpful for relatively distal or proximal fractures where the plate will extend into the metaphysis.
