Forearm shaft fractures typically have a rotational mechanism. Panel A) A supinating force accompanies an apex-volar midshaft fracture (blue circular arrow). During reduction, this rotary force is reversed by pronating the thumb and hand towards the deformity (red circular arrow) while stabilizing just proximal to the fracture site (large red arrow). Panel B) A pronating force accompanies an apex-dorsal midshaft fracture (blue circular arrow). During reduction, this rotary force is reversed by supinating the thumb and hand (red circular arrow) while stabilizing just proximal to the fracture site (large red arrow).
Reproduced with permission from: Mehlman CT, Wall EJ. Diaphyseal Radius and Ulna Fractures. In: Rockwood and Wilkins' Fractures in Children, 8th ed, Flynn JM, Skaggs DL, Waters PM (Eds), Lippincott Williams & Wilkins 2014. Copyright © 2014 Lippincott Williams & Wilkins.
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