Wrist Fracture
What is a Wrist Fracture?
A wrist fracture is a break in one or more of the bones in your wrist. The wrist is composed of eight small carpal bones and the ends of the two long bones in your forearm (radius and ulna). The most common wrist fracture involves the radius and is often referred to as a distal radius fracture.
Causes of Wrist Fractures
Falls: Falling onto an outstretched hand is the most common cause.
Direct Impact: Trauma from car accidents or sports injuries.
Osteoporosis: Weakened bones that are more susceptible to fractures.
Symptoms
Pain and Tenderness: Especially when touching or moving the wrist.
Swelling and Bruising: Around the wrist and sometimes extending to the hand or forearm.
Deformity: The wrist may look bent or out of place.
Difficulty Moving: Pain while moving the wrist or fingers.
Numbness: Tingling or numbness in the hand or fingers.
Diagnosis
Physical Examination: Checking for pain, swelling, deformity, and movement limitations.
X-rays: To confirm the fracture and determine its type and severity.
MRI or CT Scan: In some cases, for a detailed view of the injury.
Treatment Options
Treatment depends on the type and severity of the fracture.
Non-Surgical Treatment:
Rest and Ice: To reduce pain and swelling.
Elevation: Keep the wrist raised to decrease swelling.
Immobilization: Using a cast or splint to keep the bone in place while it heals.
Pain Management: Over-the-counter pain relievers or prescribed medication.
Physical Therapy: To restore strength and mobility once the bone starts healing.
Surgical Treatment:
Reduction: Realigning the bones if they are displaced.
Internal Fixation: Using pins, screws, plates, or rods to hold the bones in place during healing.
External Fixation: Using a metal frame outside the wrist to stabilize the bones.
Recovery and Rehabilitation
Healing Time: Typically 6-8 weeks, but it can vary depending on the fracture type and individual healing rates.
Follow-Up Visits: Regular check-ups to monitor the healing process.
Gradual Weight-Bearing: Following your doctor’s advice on when to start using the wrist.
Physical Therapy: Exercises to improve flexibility, strength, and balance.
Ways to Improve Fracture Healing
Follow Medical Advice: Adhere to instructions regarding immobilization, weight-bearing, and medication.
Healthy Diet: Ensure sufficient intake of calcium, vitamin D, protein, and other nutrients.
Avoid Smoking and Alcohol: These can delay bone healing.
Stay Hydrated: Drink plenty of water to support overall health.
Bone Growth Stimulator: Discuss with your doctor if a bone growth stimulator is appropriate for your fracture.
Prevention Tips
Avoid Falls: Use handrails, remove tripping hazards, and wear non-slip shoes.
Use Protective Gear: Wear wrist guards during high-risk activities like skating or snowboarding.
Exercise Regularly: Strengthen your bones and improve balance.
Bone Health: Maintain a diet rich in calcium and vitamin D, and consider bone density testing if at risk for osteoporosis.
When to Seek Medical Attention
Severe Pain or Swelling: That doesn't improve with rest and ice.
Inability to Move the Wrist or Fingers: Or bear weight on the hand.
Visible Deformity: Or bones protruding through the skin.
Numbness or Tingling: In the hand or fingers.
Notes
Follow your doctor's instructions carefully to ensure a smooth recovery.
Attend all follow-up appointments to monitor the healing process.
Start physical therapy as recommended to regain full function of your wrist.
Remember
Wrist fractures are common injuries, but with proper treatment and care, most people can expect a full recovery and return to their normal activities.