Can You Habe a Distal Radius Fracture and Not Know It
DISTAL RADIUS FRACTURE
What is it?
The radius is 1 of the long forearm bones ( the other 1 is the ulnar os) that connects the elbow to the wrist. A distal radius fracture is a break in this os just earlier the wrist articulation.
The radius is the most frequently broken bone in the arm. A distal radius fracture is considered uncomplicated if the bone breaks in but one place.
- A complex distal radius fracture occurs if :
- The os shatters into many pieces
- Other basic break forth with the radius
- Parts of the broken radius move out of their normal position (called a displaced fracture).
A distal radius fracture is commonly acquired by a fall on an outstretched hand (called a FOOSH) or through contact sports and physical activities. A number of risk factors, such as depression bone density or osteoporosis, may go far more likely for a distal radius fracture to occur. Women anile over 50 have an increased hazard of a distal radius fracture.
A fractured distal radius may crusade pain, swelling, bruising and tenderness and, in some cases, the wrist may look abnormal. Other symptoms can include numbness and tingling in the fingers (caused by compression on, or impairment to, the nerves), or the inability to bend or straighten the fingers or thumb.
You should go to A&East if you lot suspect a fracture to the distal radius as fifty-fifty small hairline fractures can cause complications, especially if information technology involves the cartilage which cushions it against other wrist bones. Cartilage damage can cause quite substantial pain in the wristand in some cases can lead to osteoarthritis from wear and tear.
How is it diagnosed?
Examination and x-rays are needed and so that your doc can tell if at that place is a fracture and to assistance determine the treatment. Sometimes a CT scan or MRI may be used to get meliorate detail of the fracture fragments and associated injuries.
In addition to the injury to the os, ligaments (the structures that concur the bones together), tendons, muscles, and nerves may likewise have been injured when the wrist is broken.
These injuries may need to exist treated in improver to the fracture.
In rare cases healing and rehabilitation afterwards is slowed downward past the evolution of another condition called
Chronic regional pain syndrome(CRPS). This will need specialised treatment until the condition settles.
Treatment
The type of fracture will determine the type of treatment.
Your hand or orthopaedic surgeon will decide which treatment is the near appropriate in your individual case.
Other important considerations include your age, overall wellness, hand dominance, piece of work and leisure activities, the presence of whatsoever prior injury or arthritis, and any associated injuries.
A splint or cast may be used to treat a fracture that is non displaced, or to protect a fracture that has been set. Complex fractures may need surgery to properly ready the bone and/or to stabilise information technology.
Fractures may exist stabilised with pins, screws, plates, rods, or external fixation. External fixation is a method in which a metal frame outside the body is fastened to pins which take been placed in the bone above and below the fracture site, in upshot keeping it in traction with an external scaffold until the bone heals.
On occasion, bone may be missing or may exist so severely crushed that there is a gap in the bone once information technology has been re-aligned. In such cases, a bone graft may be necessary. In this procedure, bone is taken from another part of the trunk to help fill in the defect. Os from a bone bank or synthetic bone graft substitutes may also be used.
What tin Hand Kinetics do?
While the wrist fracture is healing, it is very important to keep the fingers flexible, provided that at that place are no other injuries that would crave that the fingers be immobilised. If you take besides hadtendon repairsyou will need these advisedly managed at the same fourth dimension. Otherwise, the fingers will go potent, hindering the recovery of hand function.
In one case the wrist has enough stability, either past sufficient healing of the bone or with the assist of plates and screws to stabilise them, it is safe to start gentle controlled exercises for the wrist and fingers with supervision from your therapist. It is too helpful to stretch and exercise the uninjured joints such as the elbow and shoulder as wearing a cast can be heavy for them and keeping the arm notwithstanding tin can brand them strong and weak.
It is important to do the correct exercises and your Paw Kinetics Hand therapist can work with your hospital physician to determine the appropriate timing for these exercises.
Hand Kinetics will piece of work with y'all to aid yous to recover flexibility, force, and part in your paw.
What kind of results can I expect?
Recovery time varies considerably, depending on the severity of the injury, associated injuries, and other factors every bit noted previously. It is not unusual for maximal recovery from a wrist fracture to take several months.
Some patients may have residual stiffness or aching or swelling which can be helped with appropriate hand therapy and exercises on a regular ground to accomplish the best results.
Please notation:
If you have had arm or paw surgery delight telephone to discuss this before attending. It is always helpful to bring any 10-ray reports you lot may have if you recently attended infirmary for your hand or arm status.
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Source: https://handkinetics.com/conditions-treated/wrist/distal_radius_fracture
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