Distal Radius Fracture Repair
Hand & Wrist Diseases & Conditions
A distal radius fracture is a common wrist injury that occurs near the end of the radius bone, close to the wrist joint.
Dr Oscar Brumby-Rendell is an orthopaedic surgeon in Adelaide specialising in hand and wrist injuries and treatments. He offers both surgical and non-surgical treatment options for distal radius fractures.
Understanding Distal Radius Fractures
The distal radius is the end part of the radius bone near the wrist joint. This area includes the wrist joint surfaces and the point where the radius connects with the carpal bones of the hand. The distal radius plays a crucial role in the movement and stability if the wrist and hand.
Common causes of distal radius fractures include:
- Falls on an outstretched hand: The most typical cause, especially in older adults with osteoporosis.
- Sports injuries: High-impact sports or activities can lead to fractures.
- Motor vehicle accidents: Severe trauma from accidents can cause distal radius fractures.
- Direct blows: A direct impact to the wrist area can also result in a fracture.
Types of distal radius fractures include:
- Colles’ Fracture: The most common type, where the broken fragment of the radius tilts upwards.
- Smith’s Fracture: Similar to Colles’ fracture, but the broken fragment tilts downward.
- Barton’s Fracture: Involves a dislocation of the wrist joint along with the fracture.
- Chauffeur’s Fracture: A fracture of the radial styloid process, often caused by direct trauma to the wrist.
- Intra-articular Fracture: The fracture extends into the wrist joint, potentially causing joint surface irregularities.
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Symptoms of Distal Radius Fractures
Common signs and symptoms of distal radius fractures include:
- Sharp, severe pain at the wrist, worsening with movement
- Significant swelling around the wrist and forearm
- Bruising or discolouration at the injury site
- Visible deformity or abnormal positioning of the wrist
- Tenderness to touch over the fracture
- Difficulty or inability to move the wrist or hand and weakened grip
Diagnosis of Distal Radius Fractures
Most of the time a fractured distal radius is fairly obvious. There is significant trauma, with a painful swollen and often deformed looking wrist.
If however it is not obvious than a emergency physician or general practitioner will start with a physical exam, including visual inspection for deformity, swelling, and bruising, palpation for tenderness and abnormal bone positioning, and assessing the range of motion and neurovascular status.
Imaging tests are essential for accurate diagnosis. X-rays are typically the first choice, revealing fracture type and extent. CT scans provide detailed views for complex cases, and MRI may be used to assess soft tissue damage or when X-rays are inconclusive.
Importance of Accurate Diagnosis
Accurate diagnosis is vital for effective treatment, preventing complications, and optimising recovery. It ensures the right approach—whether casting, splinting, or surgery—while identifying associated injuries. Proper alignment and stabilisation are crucial for healing and avoiding long-term issues like chronic pain or loss of motion.
Non-Surgical Treatments for Distal Radius Fractures
Non-surgical treatments are often effective for managing distal radius fractures, focussing on stabilisation and healing without the need for surgery.
Application of a Cast: A cast is commonly applied to immobilise the wrist and allow the fractured bones to heal properly. The duration typically spans around six weeks, depending on the severity and healing progress monitored via X-rays.
Closed Reduction with Local Anaesthesia: For fractures that are out of alignment, closed reduction may be performed. This procedure involves re-aligning the bone fragments by manipulating them under local anaesthesia. After reduction, a splint or cast is applied to maintain proper alignment during the healing process.
Monitoring via X-rays: Regular X-rays are essential to monitor the healing progress and ensure that the bones remain properly aligned throughout the recovery period. Adjustments to the treatment plan, such as cast changes or modifications, may be based on these imaging results.
Physical Therapy: After the initial period of immobilisation with a cast or splint, physical therapy plays a crucial role in restoring strength, flexibility, and range of motion to the wrist and hand. Physical therapists design specific exercises and techniques to facilitate recovery and prevent stiffness.
Treatment tailored to your needs and preferences
Surgical Treatments for Distal Radius Fractures
Recovery and Rehabilitation
Frequently asked questions
Why Choose Dr Oscar Brumby-Rendell?
Dr Oscar Brumby-Rendell is a highly qualified orthopaedic surgeon in Adelaide with extensive experience and specialised training in upper limb conditions. He adopts a patient-centred approach, focusing on individual needs and fostering trust through clear communication and involvement in treatment decisions. Driven by a passion for excellence, Dr Brumby-Rendell combines his commitment to compassionate care with the latest advancements in the field, ensuring exceptional outcomes for his patients.
Scheduling a Consultation
Experience expert care for distal radius fractures. Dr Oscar Brumby-Rendell operates from Dulwich, Bedford Park, and Stirling in Adelaide.