A distal radius fracture almost always occurs about 1 inch from the end of the bone. The break can occur in many different ways, however.
One of the most common distal radius fractures is a Colles fracture, in which the broken fragment of the radius tilts upward.
The most common cause of a distal radius fracture is a fall onto an outstretched arm.
Osteoporosis can make a relatively minor fall result in a broken wrist. Many distal radius fractures in people older than 60 years of age are caused by a fall from a standing position.
A broken wrist can happen even in healthy bones, if the force of the trauma is severe enough. For example, a car accident or a fall off a bike may generate enough force to break a wrist.
If the injury is not very painful and the wrist is not deformed, it may be possible to wait until the next day to see a doctor. The wrist may be protected with a splint. An ice pack can be applied to the wrist and the wrist can be elevated until a doctor is able to examine it.
If the injury is very painful, if the wrist is deformed or numb, or the fingers are not pink, it is necessary to go to the emergency room.
- Clinical Examination
- X-rays of the wrist: X-rays are the most common and widely available diagnostic imaging technique. X-rays can show if the bone is broken and whether there is displacement (a gap between broken bones). They can also show how many pieces of broken bone there are.
Treatment of broken bones follows one basic rule: the broken pieces must be put back into position and prevented from moving out of place until they are healed.
There are many treatment options for a distal radius fracture. The choice depends on many factors, such as the nature of the fracture, your age and activity level, and the surgeon's personal preferences.
a) Non Surgical:
• Wrist Guard
Surgery typically involves making an incision to directly access the broken bones to improve alignment (open reduction).
Depending on the fracture, there are a number of options for holding the bone in the correct position while it heals:
• Metal pins (usually stainless steel or titanium)
• Plate and screws
• External fixator (a a stabilizing frame outside the body that holds the bones in the proper position so they can heal)
• Any combination of these techniques
Open fractures. Surgery is required as soon as possible (within 8 hours after injury) in all open fractures. The exposed soft tissue and bone must be thoroughly cleaned (debrided) and antibiotics may be given to prevent infection. Either external or internal fixation methods will be used to hold the bones in place. If the soft tissues around the fracture are badly damaged, your doctor may apply a temporary external fixator. Internal fixation with plates or screws may be utilized at a second procedure several days later.
Consult at Aadil Hospital for medical and surgical procedure.