Wrist and Hand Fractures

Case Definition

Definition of the Condition

Wrist and hand fractures usually occur due to a fall on the hand or direct trauma. They include fractures of the wrist bones (e.g., distal radius) or hand bones (e.g., metacarpals and small carpal bones). These fractures are very common, especially among older adults or athletes.

Symptoms

  • Severe pain in the wrist or hand
  • Visible swelling
  • Difficulty moving the wrist or holding objects
  • Bruising or changes in skin color
  • Deformity or misalignment of the hand or wrist

Diagnosis

  • X-ray: to confirm the fracture and its location
  • CT scan: for complex cases
  • Clinical examination: to assess blood circulation, nerves, and hand movement

Treatment Methods

  1. Conservative Treatment:
  • Immobilization with a cast or splint
  • Rest and elevate the hand
  • Pain relievers
  • Follow-up with X-rays during the healing period
  1. Surgical Treatment:
  • Placement of plates and screws to stabilize the bones
  • Required for comminuted or unstable fractures

When is Surgery Needed?

  • Bone displacement
  • Intra-articular fracture (fracture involving the joint)
  • Open fracture (bone protruding through the skin)
  • Failure of natural healing or incorrect healing
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Frequently Asked Questions about Wrist & Hand Fractures

We fully understand the importance of having all the necessary information to make informed decisions about your health. So, we have compiled the most common questions about wrist and hand fractures in children and provided clear and reliable answers. We hope this section helps you gain a better understanding of the procedure.

Usually between 6 to 8 weeks, depending on the type of fracture.

Yes, after removing the cast, to improve movement and strength.

Yes, in most cases, especially with proper treatment and rehabilitation.

No, many fractures are treated conservatively without surgical intervention.

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