Distal Radius (Wrist) Fracture

What is a Distal Radius (Wrist) Fracture?
  • The radius is the larger of the two long forearm bones that connects the elbow to the wrist.
  • A distal radius fracture occurs when the end of the bone, closest to the wrist, breaks. 
  • This often happens when a person falls onto an outstretched hand.
  • The distal radius fracture is the most commonly occurring fracture in the arm.
  • Common Symptoms
    • Pain, tenderness, bruising and swelling following an injury in the wrist and hand, particularly a fall onto an outstretched hand.
    • Stiffness or inability to move the wrist.
    • In a more severe fracture, the wrist may have an unusual bump or be positioned at an odd angle.
    • If the fracture is complex or offset, a surgery may be need to position the bone in proper alignment while the fracture heals. 

Common Treatments may include:
  • Depending upon the severity of the fracture or the degree of stability of the fracture, use of a wrist brace, splint or orthotic  or cast at all times until the bone has healed (approximately 5-6 weeks following injury)
  • If the fractured bones are so offset that they can not be held in stable alignment with a cast, surgery may be required to stabilize the fracture.
  • Following the immobilization period, treatment may include:
    • Regaining mobility of the joints that had to be immobilized during the healing phase.
    • Gradually regaining strength in the hand, wrist and arm.
    • Use of Heat and cold 
      • Use cold packs for acute pain or swelling.
      • Use heat packs to control more chronic pain or relax the muscles.
      • Alternating heat and cold (a contrast bath routine) can be particularly helpful following a wrist fracture to reduce swelling and improve flexibility of the joints.
    • Wearing compression sleeves or Isotoner gloves at night may help control swelling and provide a comforting, neutral warmth.
    • Modalities such as ultrasound and electrical stimulation may reduce inflammation and pain.
    • Scar management techniques if surgery was required.
    • Techniques to reduce swelling such as using a compression glove or sleeve, electrical stimulation, use of cold packs, elevation of the arm.

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