An X-Ray of a distal radius fracture.
Distal radius fractures can vary in their location, pattern, and severity. Fractures the involve the wrist joint can be associated with significant cartilage damage and lead to wrist stiffness and an increased risk of wrist arthritis.
X-rays are commonly used to confirm a distal radius fracture. A CT scan of your wrist is sometimes needed to determine the exact location and pattern of the fracture, and assess any associated injuries.
Wrist Fractures Treatment
For non-displaced or minimally displaced fractures, where the bone fragments remain in their normal position, immobilisation in a splint or a cast is often the initial treatment. The splint or cast helps to support and immobilise the fracture, allowing it to heal. Immobilisation is usually needed for six weeks.
Surgery for wrist fractures is typically considered in certain cases where the fracture is significantly displaced, associated with multiple fragments, open fractures, or fractures with associated injuries. The surgical treatment aims to realign and stabilise the fractured bone fragments to promote proper healing.
Open Reduction and Internal Fixation (ORIF) is the most common surgical procedure for distal radius fractures. It involves making an incision over the fractured area to directly access the fracture site. The fractured bone fragments are then realigned (reduced) into their proper position, and they are held together with a specialised titanium plate and screws.
Wrist Fractures Recovery
The recovery time for a wrist fracture can vary depending on your specific injury. In general, it takes three months for a wrist fracture to heal:
Initial Healing Phase (1-2 weeks):
In the first few weeks after a wrist fracture, the focus is on immobilisation and protecting the injured area. You will usually wear a splint or backslab (half cast).
Early Rehabilitation Phase (2-6 weeks):
Once the initial healing has taken place, the next phase involves early mobilisation and gentle range-of-motion exercises. You will be referred to a hand therapist to help you during this phase to improve wrist range of motion.
Mid Rehabilitation Phase (6-12 weeks):
As the fracture continues to heal, more intensive rehabilitation and strengthening exercises are introduced. These exercises target the muscles and joints around the wrist to regain strength, stability, and range of motion.
Return to Normal Activities (12weeks+):
Once your fracture has healed, you can return to normal activities, such as manual work and sports.