E2 – Midshaft Ulna or Radial Shaft Fracture

This is a break to a bone in your forearm

An arm in a cast with 'wiggle fingers' next to it

Healing:

It normally takes 6 weeks for this fracture to heal.

Sensation and movement of your hand:

It is important that you are able to wiggle your fingers and are able to have full feeling of your hand. If you lose movement or are unable to feel your hand then you should go back to A&E immediately for your plaster to be checked.

Wearing your sling:

You will have been fitted with a plaster cast and provided with a sling. Keeping your arm elevated with the sling, or on pillows/cushions, will help reduce the pain and swelling. Take pain relief medication as prescribed.

The plaster cast needs to be on for 4 weeks. This can then be removed at home. For further advice on removal of the plaster cast at home please watch the video created by the British Society for Children’s Orthopaedic Surgery.

If you need further advice about removing the plaster cast please contact the Virtual Fracture Clinic.

Your cast:

If you have any of the following please contact the Plaster Room (details at the end of this leaflet)

  • Any new pain unrelated to your existing injury e.g. persistent burning sensation under the casts
  • Soreness or rubbing of the cast
  • Any offensive smells from the cast
  • Staining or leaking through the cast from a wound discharge
  • The cast become broken, soft, dented or loose
  • The cast becomes wet

Exercise and activity:

It is important to start exercising your hand and fingers as soon as possible. You will find pictures and instructions for your exercises in the next section.

Follow up:

A follow up appointment is not normally needed for this injury. Please contact the Virtual Fracture Clinic if you do not have full movement 3 weeks after the plaster cast removal.
It is normal to still have mild discomfort. This may continue for 3-6 months.

Any questions:

If you are concerned about your symptoms, are unable to follow this rehabilitation plan or notice pain other than at your elbow, please contact the Virtual Fracture Clinic.

Caring for your injury: Week 1-4

Try to rest your elbow, especially in the first 24-72 hours.

Elevation, either with your arm resting on a pillow, or by using the sling, will help with the pain and swelling management.

Exercises:

Bend and straighten your fingers and thumb demonstration

Start these exercises straight away. Bend and straighten your fingers and thumb 10-15 times.

Complete these movements regularly during the day. The cast may restrict your movements.

Caring for your injury: Week 5-12

Your fracture should now be healed and the cast removed. You can return to light activities but avoid heavy lifting for 6 weeks.

You can gradually increase your day to day activity. Be guided by any pain or discomfort you may still have.

Exercises:

Regular exercise will prevent stiffness and help to recover movement. Try to do these exercises every hour. If this is too painful, start with 3-4 times a day. Repeat each exercise 10 times.

Wrist exercises demonstrating rotation and flexing of the handElbow exercises demonstrating rotation and flexing

  1. Open and close your hand. Next, move you wrist up and down.
  2. After a few days, hold a soft ball/ball of socks. Squeeze the ball as hard as possible without pain. Hold for 5 seconds.
  3. Bend and straighten your elbow so you feel a mild to moderate stretch. Do not push into pain.
  4. Bend your elbow to 90 degrees. Slowly turn your palm up and down until you feel a mild to moderate stretch. Do not push into pain.

Frequently Asked Questions

I’m concerned about my symptoms and/or I am struggling to return to exercise.

Please contact the Virtual Fracture Clinic.

I am struggling with my cast and sling. What do I do?

Contact the Virtual Fracture Clinic. We are happy to give further advice and can refer you to the plaster room if needed.

Contact Details for Bedford and Luton

Please contact the hospital where you attended A&E as the other site will not be able to access your notes

BEDFORD HOSPITAL PATIENTS

How do I contact the Virtual Fracture Clinic (VFC)

How do I contact the Fracture Clinic?

  • Telephone 01234 792138

How do I contact the Plaster Room?

  • Telephone 01234 792031
  • Monday to Friday 9am to 5pm (out of hours contact the Emergency Department)

LUTON & DUNSTABLE HOSPITAL PATIENTS

How do I contact the Virtual Fracture Clinic (VFC)

  • Telephone 01582 718121
  • Messages will be checked every morning Monday to Friday (except for Bank Holidays)
  • Email VFCLuton@ldh.nhs.uk

How do I contact the Fracture Clinic?

  • Telephone 01582 497194 or 01582 718 993 (outpatient appointments)

How do I contact the Plaster Room?

  • Telephone 01582 491166 (ext. 2233)
  • Monday to Friday 9am to 5pm (out of hours contact the Emergency Department)