Wrist Fracture Treatment

What are Wrist Fractures and How Do They Occur?

Wrist Fractures refer to the condition in which the bones in the wrist part of the hand break for various reasons. These types of fractures can often occur as a result of falls, accidents during sports, traffic accidents or direct blows. The wrist is a complex structure consisting of many small bones coming together, and when fractured, this structure can significantly affect the mobility and strength of the hand. Fractures can destabilize the wrist and cause symptoms such as pain, swelling, or limited movement. Treatment may vary depending on the type and severity of the fracture and may often require a cast or surgery.

What are the Symptoms, Diagnosis and Diagnostic Methods of Wrist Fractures?

Typical symptoms of wrist fractures include severe pain, swelling of the wrist, discoloration (bruising or redness), decreased mobility, and sometimes clearly visible deformity, depending on the location and severity of the fracture. The patient may feel extreme sensitivity and pain when the fractured area is touched.

To make a diagnosis, the doctor will first review the patient’s medical history and ask questions to learn how he or she was injured. During the physical examination, the doctor evaluates the location of pain, swelling, and range of motion. Then, an x-ray is usually taken. X-rays are the most common and effective imaging method to reveal the location of the fracture, its severity, and additional problems such as shifting bones.

Sometimes more detailed imaging may be required, especially to assess for complex fractures or additional damage. In this case, advanced imaging techniques such as Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) can be used. These methods help the doctor examine the fracture in more detail and determine the appropriate treatment plan.

What are the Treatment Options and Recovery Process for Wrist Fractures?

Treatment methods for wrist fractures are determined according to the characteristics of the fracture and individual factors about the patient. Treatment generally includes conservative methods (such as the use of a cast or splint) for stable and simple fractures, surgical interventions (such as insertion of plates, screws or nails) for more complex or displaced fractures, and physiotherapy or rehabilitation programs to support the healing process.

Conservative treatment is preferred in cases where the fracture fragments are well aligned in their natural position. In this case, a cast or splint supports the healing process by keeping the fracture stable. How long a cast or splint is used depends on the severity of the fracture and the speed of healing.

If the fracture fragments are displaced or there is a more complex fracture, surgical intervention may be necessary. Surgery may use plates, screws, or nails to move and fix the fracture fragments into the correct position. After surgery, physiotherapy sessions are recommended to accelerate the healing process and support functional recovery.

Recovery time may vary depending on the patient’s general health condition, the severity of the fracture, and the treatment method. Generally, recovery time for wrist fractures can take anywhere from a few weeks to a few months. However, full functional recovery may take longer and regular exercises and physiotherapy support this process. It is important for patients to follow the doctor’s recommendations and perform the recommended exercises regularly to accelerate the healing process.

What are the differences between surgical and non-surgical treatments?

Treatment approaches for wrist fractures include surgical and conservative (non-surgical) methods. Which treatment method will be applied is determined by the doctor depending on the characteristics of the fracture, the general health of the patient and some individual factors.

Surgical treatment is generally preferred for unstable or complex fractures in which the fracture fragments are displaced. This method aims to move and fix the bone fragments in the correct position. During the surgical procedure, metal plates, screws, or nails may be used to align and stabilize the bones. Surgical intervention is important to ensure faster and proper healing of the fracture and to prevent future functional problems.

Conservative treatment is applied to less severe, stable and simple fractures. In this method, the fracture area is fixed with a cast, splint or splint. This fixation supports the natural healing process of the bones and ensures that the fracture remains stable. Conservative treatment is a less invasive option than surgery and generally carries less risk of complications.

The aim of both treatment methods is to restore normal functions and stability of the wrist. The doctor selects the most appropriate treatment method by evaluating the characteristics of the fracture, the patient’s age, general health condition and lifestyle. Both treatment options are often supported by physiotherapy and rehabilitation, helping the patient recover faster and more effectively.

Wrist Fractures Rehabilitation and Physical Therapy Process

Rehabilitation and physical therapy play a very important role in the healing process of wrist fractures. Following fracture healing, the physical therapy program aims to regain flexibility, strength, and functional ability of the wrist. Physical therapy is performed with exercises and treatment approaches specifically designed for the individual.

The physical therapist determines the most appropriate exercise program for the patient. This program generally includes exercises to increase range of motion, strengthen and restore the wrist’s former functions. Exercises are adjusted according to the healing phase of the fracture and the patient’s general health condition.

The rehabilitation process varies depending on the type and severity of the fracture and the patient’s overall recovery rate. In some cases, the rehabilitation process may take several weeks, while in more serious fractures this process may be longer. Physical therapy also helps with pain management and learning proper wrist use techniques.

Regular participation of patients in the physical therapy program and doing the recommended exercises at home contributes to accelerating the healing process and achieving more successful results. During this process, it is important to follow the therapist’s recommendations and contact the therapist in case of any pain or discomfort.

Wrist Fractures Complications and Precautions

Wrist fractures can cause a variety of complications, and preventing or managing these complications is an important part of treatment. Possible complications may include infection, bones not fusing properly (non-union or malunion), nerve or vascular damage, joint stiffness, and chronic pain or limited movement.

To prevent such complications, it is important to strictly follow your doctor’s treatment plan. Especially patients undergoing surgical treatment should regularly take the antibiotics prescribed by the doctor to reduce the risk of infection and take care to keep the surgical area clean and dry.

Joint stiffness and limited movement may occur, especially after long-term use of a cast or splint. Therefore, doing the exercises recommended by your doctor and attending physical therapy sessions is very important to maintain and improve joint mobility.

Falls are one of the most common factors causing wrist fractures. Therefore, in order to reduce the risk of falling, it is recommended to take safety precautions in the home and work environment, wear appropriate shoes and use assistive walking devices if necessary.

It is also important to maintain adequate calcium and vitamin D intake, regular exercise, and a healthy lifestyle to support bone health. It will also be beneficial to follow your doctor’s recommendations regarding diet and lifestyle to support the healing process of the fracture.