Proximal forearm fractures are the least-common forearm fractures, collectively accounting for about 5% of forearm fractures. The types of proximal injuries include radial head and neck fractures, olecranon fractures, coronoid fractures. Monteggia fractures constitute about another 5% of forearm fractures. Monteggia injuries involve an ulna fracture with a radial head dislocation-fracture. Monteggia-equivalent injuries involve some variation of ulna fracture and proximal radius injury. This article reviews the clinical presentation and management options for proximal forearm fractures.