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An unusual case of fracture of the radius.

We would like to report an unusual fracture of the radius suffered by a 36-year-old man in a road-traffic accident. At the time of the accident the patient was driving his car with his forearm lying along the window frame and his wrist extended when he collided head-on with another vehicle. On arrival in hospital he had pain, swelling and tenderness over the middle of his right forearm. There were no external injuries to this area. Pronation and supination were painful with some limitation of supination. X-rays of the forearm are shown in Fig. 1. The patient was treated with a plaster cast for 4 weeks. This was found to be necessary for symptomatic relief of pain. After this time there was minimal tenderness and only a 200 loss of supination. After 3 more weeks mobilization the patient had fully recovered. Repeat X-rays at this time showed no change in appearance from the original films with no periosteal reaction or callus formation visible (Fig. 2). No further treatment was considered necessary and the patient was discharged from follow-up. The lack of callus formation in this injury would suggest that the X-ray appearances are not new but had been due to an earlier injury which resulted in ectopic calcification. Thus, the diagnosis of an acute fracture was possibly in error. However, there was no