What is a distal radius fracture?
A distal radius fracture refers to a broken wrist – they are one of the most common fractures sustained around the world. Wrist fractures often happen due to falling over, sport accidents or during high impact situations like car accidents. There are many different ways that the distal radius can fracture – sometimes they are simple breaks, but sometimes they go into the joint, have multiple fragments, or can be displaced. A distal radius fracture can be diagnosed with an x-ray however additional imaging may be required to rule out other injuries or to assist with planning surgery.
Why do I need surgery?
A hand surgeon will recommend surgery if the fracture is complex or unable to maintain correct alignment within a cast or splint. A distal radius ORIF (Open Reduction Internal Fixation) involves the application of plate and screws over the fracture site to correct the position and increase the stability of the fracture.
What does hand therapy following distal radius fracture involve?
Hand therapy following surgery includes:
- Taking off surgical dressings, cleaning the wound and applying a new dressing as required
- Giving a home exercise program to regain movement in the fingers, wrist and thumb
- Fitting a splint to protect the fracture site and assist with pain management. There are a range of different splinting options available which will be determined by the severity of fracture, patient symptoms and the recommendation of the surgeon
- Providing advice and compression to manage swelling
Your hand therapist will guide you through your rehabilitation and provide recommendations for activity levels and therapy goals at each stage of your recovery. Every person’s fracture and recovery is different – involving a hand therapist in your care from the beginning will make sure that your care is tailored to you, so that you can achieve your goals and get back to your normal lifestyle as quickly as possible.
