A both bone forearm fracture is the fracture of both bones of the forearm – the ulna and the radius. They most often occur as a result of direct trauma, such as a car accident a fall from a distance, or a forceful blow. There is pain, swelling and a visible deformity in the affected area. There is also the possibility of nerve damage resulting in paresthesia (burning or tingling skin sensation), or loss of function.

Most adult fractures of this kind are displaced fractures, which means that the broken parts of the bone are not aligned at the break and are no longer in their correct anatomical positions. These types of fractures in adults almost always require surgery, because the forearm is generally unstable and not conducive to casting.

Following a physical examination and series of X-rays, a treatment and pain management plan is developed.

Depending on the severity of the breaks and presence of other tissue damage, treatment will consist of either closed or open reduction. Metal plates and screws may be placed on both the radius and ulna bones.