Wrist Fracture
What are the treatments for the injury?
Treatments to reduce pain and swelling are initially used for a wrist fracture. This includes medicine, elevating the injured arm, and applying ice. The treatment then involves returning the bones to their proper position and realigning broken ends. A cast, which holds the repaired bones in place, is the most common treatment method. Sometimes a temporary splint is used to allow for swelling before a cast is put on.
Surgery may be necessary for a severe fracture. It may also be used if the bones are not realigned properly or if the skin is open. In rare cases, a bone graft is used. In this procedure, a piece of bone is used to replace a damaged bone. Joint X-rays will need to be taken frequently to make sure the fracture is in a good position throughout the healing process. Exercises to maintain the flexibility of the fingers, elbow, and shoulder are also recommended.
What are the side effects of the treatments?
Surgery can cause infection, bleeding, and allergic reactions to the anesthesia.
What happens after treatment for the injury?
Most wrist fractures heal without problems. Initially after the cast or splint is removed, the arm or wrist is pale and slightly weak from lack of use. Physical therapy may be necessary to restore normal motion, strength, and function. Over time and with careful use, strength is gradually regained.
Possible long-term effects may include:
arthritis
deformity, such as the shortening of one of the bones in the forearm
discomfort or stiffness
numbness or tingling in the hand
a weak grip
More serious long-term effects from a broken wrist can occur but are seen less often. Occasionally, tendons can be caught in scar tissue or break over a rough bone. Rarely, a person will develop "shoulder-hand syndrome," which includes:
bluish swelling of the hand and fingers
depression
pain
stiffness from the shoulder to the fingers
weakness
Any new or worsening symptoms should be reported to the healthcare provider.
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