Displaced Fracture of the Distal Radius

Wrist fractures

Wrist fractures typical involve the end of the radius and are referred to as “distal radius fractures”.  Most of these fractures can be treated successfully with a cast.  Some require manipulation in which the fracture is “set” or realigned before the splint or cast is placed on the arm.  X-rays are taken at 2 week intervals to ensure that the bone remains aligned in the cast.  Surgical intervention is required in those cases in which the bone cannot be realigned with manipulation or in those fractures which are markedly displaced.  Surgery involves a 45 minute operation in which the fracture is re-aligned and a small plate is placed on the distal radius to hold the fragments well aligned.  After surgery, the wrist is placed in a soft splint for 10 days and then the patient wears a soft removable splint for the next 4 weeks. Rehabilitation progresses fairly quickly and most patients have full recovery at 3-6 months. Therapy is important after either surgery or non operative treatment to regain flexibility and function of the hand.

Distal Radius Fracture after repair