Don’t Make This Wrist Fracture Mistake⁉️

Distal radius (wrist) fractures are the most common fracture of the upper extremity. #WristFractures happen in all patient populations and are the most common orthopedic injury with a bimodal distribution. More than 450,000 #wrist fractures occur annually in the US, and that number continues to rise. Fractures of the distal radius represent ~1/6 of all fractures treated EDs. Younger patients tend to be involved in higher energy trauma mechanisms, whereas older patients tend to be involved with lower energy falls.
Wrist Fracture complications can include:
- Median Nerve Neuropathy (Carpal Tunnel Syndrome): Most frequent neurologic complication, 1-12% of low-energy fractures and up to 30% of high-energy fractures
- Extensor Pollicus Longus Tendon Rupture: Nondisplaced distal radius higher rate of spontaneous tendon rupture
- Radiocarpal Arthrosis: up to 90% of young adults will develop symptomatic arthrosis if articular step-off is greater than 1-2 mm
- Malunion and nonunion
- Compartment Syndrome
- Complex Regional Pain Syndrome
.
Wrist Fracture Rehabilitation:
Postoperative care for open-reduction internal fixation with volar plating includes immediate volar splinting following surgery. The patient is instructed to perform active range of motion exercises for the digits and elevate their wrist above heart level to prevent stiffness and aid in edema control. Splint is removed 1-2 weeks after surgery for wound check. Removable splint should be fabricated by a hand therapist to help with edema and worn at all times to protect fracture fixation. Patient should remain non-weight bearing of the upper extremity but may begin active range of motion exercises of the wrist after the first post-operative visit. At 4-6 wks putty and grip exercises may be added. At 6-8 wks, the splint is discontinued, and progressive strengthening exercises are advanced. Most patient are released to activities as tolerated at 10-12 wks #brokenwrist
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Opinions expressed are solely my own and do not express the views or opinions of my employer. Information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis and/or treatment. All content [images, digital graphics, text, and other information] contained in this video is for general information purposes only and does not replace or substitute for a consultation with a qualified physician or health professional.

[@Crmson117]

You gotta get range of motion going exactly as the surgeon says; if they say do nothing that's what you do or if they say it might be good to do this or that then do those things. Sometimes things getting super tight is exactly what they want, like with my shoulder. I was lucky and didn't botch the job with early range of motion but nobody told me extra tightness from extended immobilization was the actual goal.

[@Jon-jk8vd]

This doesn't apply to some lower extremity surgeries which can damage hardware, broken screws are difficult to deal with

[@projecttitanium-slowishdriver]

It says a wrist fracture

[@mayanksapra6507]

Glad i found your video and thanks for making content helpful for those trying to recover their broken wrist. I am a fitness enthusiast who desperately wants to get back to yoga and exercise after wrist fracture. My wrist got fractured in a road accident 2 months ago. It was a colles fracture in the radius bone of the left wrist. My Dr healed my fracture by just putting a cast and didn't recommend a surgery.I am currently undergoing physiotherapy and I can't even lift a 5 kg dumbbell now. I used to do 50-60 pushups in a row and 108 sun salutations every day before my accident and i cannot even think about doing a single push up now. Is it going to be like this forever? How can i restore its strength as it was before. I used to do dumbbell curls using 15 kg dumbbells. Any suggestion or solution for restoring the strength of the left hand back?

[@brizak70]

I am ~also sitting here almost a month after the exact same fracture. I sterilize surgical instruments for my job and they won't let me back because I can't even lift over a pound now. I'm going crazy. I can't even bend my wrist FORWARD well at all!!! Also numb patch on my palm still. Hasn't faded. I feel ill never be able to rotate my wrist normally. My pinky finger bone hurt when bent. Uugghb. I know how you feel. All I know is constantly work the wrist and hand. I feel it's taking long too.

[@BoneDoctor_YouTube]

reasonable expectation would be continued improvement and full return to pre-injury activity. if not seeing improvement, ortho evaluation probably worth the time to confirm appropriate healing. Seeing improvement?

[@joecat4919]

Wish I knew this beforehand. After getting an arm cast removed, before the doctor could even warn me about it, I stretched my arm as hard as I can and felt instant regret lol. Nothing was damaged after that though, it just hurt like hell for a few seconds

[@projecttitanium-slowishdriver]

My radial bone is fixed with aculoc 2. My orthopedic was not amused when I joked that are bolt connection checked against max static loads and fatigue loads when I saw the X-ray for the first time. I do a lot of calculations for the connection at work, this was the reason for the joking😂 It is almost in the same condition as before the accident. Sometimes it reminds me of its existence at the gym It took a while to relearn to rotate my wrist after the half-cast ( the bottom was “open”) was removed. The reason was that my radial bone was in two pieces and the fracture had a lot of names depending on how my wrist bent and in what direction. Smith or Colles I was amused by how fast the orthopedic allowed me to back to mountain biking/downhill biking after the cast was removed. For me, it took longer due to mental reasons and I needed to relearn some stuff I have fractured my both hands maybe four times and my leg one time, I do not remember which one

[@projecttitanium-slowishdriver]

Can you explain why I did not have pains after the distal radius fracture and after the surgery? Adrenaline doesn't explain it because it doesn't last long.

[@That_Squatch]

Yeah i had to clen h my hand eventually going through different resistance levels of stress balls had an a curve in my wrist it was more painful to put it back in place

[@AG_raf]

Who's watching with a broken wrist

[@Tasha_Moneek7]

Me 😂✋🏽

[@Laylaofc9014]

I have a cast on my wrist when i hear this oof killed me i hate pain 😢

[@robertovides3691]

Try to move ur fingers while in the cast , i just got off a cast a week ago and my wrist was super stiff but my fingers were ok not to stiff cuz i get moving them