Overview

Broken Wrist Diagnosis: Symptoms and Tests

  • Physical Examination for Broken Wrist

    • Your doctor will examine your hand and wrist for tenderness, swelling, deformity, or open wounds.

    • Assessing range of motion helps determine the severity of a wrist fracture.

  • X-ray Imaging

    • Standard X-rays locate the fracture and evaluate bone alignment.

  • Advanced Imaging for Wrist Fractures

    • CT Scan: Detects wrist fractures missed by X-rays and evaluates soft tissue or blood vessel damage.

    • MRI: Highly sensitive for small bone fractures and ligament injuries, providing detailed images of wrist tissues.


Broken Wrist Treatment and Recovery

Reduction (Realigning the Bones)

  • Misaligned bone fragments require a reduction procedure to restore proper alignment.

  • May involve local or general anesthesia depending on pain and swelling.

  • Regular finger movement is essential to prevent stiffness during healing.

Immobilization for Wrist Fractures

  • Restricting movement is crucial for wrist fracture healing. This often includes:

    • Cast or splint to stabilize the bones

    • Hand elevation to reduce swelling and pain

Medications for Wrist Fracture Pain

  • Over-the-counter pain relievers like acetaminophen or NSAIDs.

  • Prescription opioids for severe pain if necessary.

  • NSAIDs should be used carefully, as they may slow bone healing.

  • Antibiotics for open fractures to prevent infection.

Physical Therapy and Rehabilitation

  • After cast or splint removal, wrist exercises or physical therapy restore strength, flexibility, and range of motion.

  • Complete recovery may take several months, depending on fracture severity.

Surgery for Wrist Fractures

  • Internal fixation: Pins, plates, rods, or screws may be used to hold bones in place.

  • Bone grafts can be applied to assist healing.

  • Surgery may be necessary for:

    • Open or displaced fractures

    • Loose bone fragments near a joint

    • Damage to surrounding ligaments, nerves, or blood vessels

    • Fractures extending into the joint

  • External fixation: Metal frame with pins through the skin and into the bone for complex fractures.

  • Ongoing X-ray monitoring ensures bones remain properly aligned; surgery may be required if bones shift.


Broken Wrist Recovery Timeline

  • Minor wrist fractures may heal in 6–8 weeks, while severe or surgical fractures can take 3–6 months.

  • Early rehabilitation exercises improve recovery speed and reduce stiffness.

  • Avoid smoking and follow your doctor’s advice for optimal bone healing.


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