© Copyright 2026 American Medical Association. All rights reserved.
Closed treatment of radial and ulnar shaft fractures with manipulation involves a medical procedure where fractures in the shafts of both the radial and ulnar bones are treated without making an incision. This procedure is specifically indicated for minimally displaced fractures, where the bone fragments have shifted but can be realigned manually. The treatment begins with obtaining radiographs, which are X-ray images that help confirm the presence and alignment of the fractures. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no complications that could affect healing or function. If the fractures are determined to be minimally displaced, the physician will manually manipulate the fracture fragments back into their proper anatomical positions. Following this manipulation, additional radiographs are taken to verify that the bones are correctly aligned. Finally, to stabilize the arm and promote healing, a long arm splint or cast is applied, immobilizing the area to prevent further movement and facilitate recovery.
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