Bowing fractures of the forearm in children: pathophysiology, diagnosis and management
Intended for healthcare professionals
Evidence and practice    

Bowing fractures of the forearm in children: pathophysiology, diagnosis and management

Jennifer Worrall Senior emergency practitioner and clinical lead, minor injury unit, Trowbridge Community Hospital, Wiltshire Health and Care, Trowbridge, England

Why you should read this article:
  • To refresh your knowledge of the anatomy of forearm bones and the pathophysiology of bowing fractures

  • To increase your awareness of the diagnostic challenges and complications associated with bowing fractures

  • To enhance your understanding of the management of children with bowing fractures

Bowing fractures of the forearm are characterised by numerous micro-fractures on the concave surface of the affected bone(s), usually caused by a fall on an outstretched arm. Children are more susceptible to this type of injury than adults because their long bones have more elasticity. Bowing fractures of the forearm are challenging to diagnose because there are no obvious cortical defects, which can lead to inappropriate management and associated complications, including loss of movement range and loss of function. This article discusses bowing fractures of the forearm in children, including their pathophysiology, diagnosis and management. It aims to enhance emergency nurses’ awareness and knowledge of this type of injury in children and of the challenges surrounding diagnosis and management.

Emergency Nurse. doi: 10.7748/en.2023.e2167

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

Correspondence

Jennifer.worrall1@nhs.net

Conflict of interest

None declared

Worrall J (2023) Bowing fractures of the forearm in children: pathophysiology, diagnosis and management. Emergency Nurse. doi: 10.7748/en.2023.e2167

Published online: 04 July 2023

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