Abstract : A rare case report of patient presenting with radius-ulna midshaft fracture along with ipsilateral lower end radius fracture. A 44 y/f with complaints of pain and swelling over right wrist and forearm for 1 day. She had a history of road traffic accident 1 day back. On examination, diffuse swelling and tenderness were noted over right forearm and wrist, along with a restricted range of motions at elbow and wrist. Plain radiograph of forearm and wrist joint was suggestive of transverse fracture of radius ulna midshaft along with colles fracture of the lower end radius. The patient was started on Analgesics and IV fluids, and Open Reduction Internal Fixation with Plating was done for Radius and Ulna Shaft along with Closed Reduction Internal Fixation for Lower End Radius Fractures under Supra-Clavicular and Axillary Nerve Root Block. Post-op, immediate mobilization and ROM exercises of elbow were started and a below elbow slab was given for immobilisation of wrist to which the patient responded positively. The patient was discharged upon suture removal with a healthy suture line and a below elbow cast given for stabilising the wrist joint and upon subsequent monthly follow-ups, showed progressive improvement of symptoms with an increasing range of motions and sequential radiographs also suggestive of fracture healing. K- Wires were removed after 6 weeks post operatively.