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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cast Removed From Broken Forearm, Dip Or Bow In Arm, Cannot Turn Palm Without Leaning. Help?

My son just got his cast removed from a broken forearm. both bones were broken. he has a noticeable dip or bow in the top of his arm, behind the wrist. He cannot turn his palm facing the sky without leaning to the side & making the top part of his arm turn & look deformed. I am worried that this is not normal. we looked at the x-rays & one of the bones had healed back crooked! should i be concerned??
Sat, 19 Oct 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Based on the given description, I suspect that the bones might have united in a malposition (Malunion) resulting in visible deformity. If your son is less than 10 years old, there is a high possibility for the bone to remodel as the growth progresses and the deformity will slowly regress.

Generally there will be some amount of stiffness after a cast removal and it will slowly regresses with physiotherapy.

If he is more than 10 yrs of age and there is severe restriction of forearm movements, he may need a corrective surgery.

Hope this information is helpful. Good day
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Cast Removed From Broken Forearm, Dip Or Bow In Arm, Cannot Turn Palm Without Leaning. Help?

Hi, thanks for writing to HCM. Based on the given description, I suspect that the bones might have united in a malposition (Malunion) resulting in visible deformity. If your son is less than 10 years old, there is a high possibility for the bone to remodel as the growth progresses and the deformity will slowly regress. Generally there will be some amount of stiffness after a cast removal and it will slowly regresses with physiotherapy. If he is more than 10 yrs of age and there is severe restriction of forearm movements, he may need a corrective surgery. Hope this information is helpful. Good day