Best Practice Case Studies-Wrist Fractures

Pdf Summary

A wrist fracture involves a break in either the forearm bones (ulna and radius) or one of the eight wrist bones, usually resulting from a fall on an outstretched hand or a direct blow. Symptoms include pain, swelling, and limited motion. Diagnosis typically begins with an examination of both injured and uninjured wrists and hands, followed by imaging tests like X-rays, CT, or MRI. Sometimes, a fracture isn’t visible initially and requires a follow-up X-ray after 1-2 weeks.<br /><br />Treatment varies based on the fracture type but often involves immobilization with a cast or splint for 4-12 weeks. A splint might be used initially to allow swelling to subside before casting. Pain management may include ice, elevation, anti-inflammatory medication, or other painkillers. If the bones are misaligned, sports medicine physicians might manipulate them to realign before splinting. Surgery may be necessary if there’s significant misalignment, separation, or inadequate healing.<br /><br />Preventative measures include using protective wrist splints in certain sports and ensuring adequate strength and conditioning for athletic activities, although most fractures result from accidental falls and are hard to prevent. <br /><br />Returning to play post-injury should be guided by a sports medicine physician, focusing on full pain-free range of motion, strength recovery, and wrist protection during activities. This process typically takes about 6-8 weeks and might require rehabilitation to improve wrist flexibility and strength.<br /><br />The American Medical Society for Sports Medicine (AMSSM) is a key organization for sports medicine physicians focusing on education, research, and the care of athletes. Their members often serve as team physicians at various competitive levels. Resources and a directory of sports medicine physicians are available at www.amssm.org.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 17

Topic Hand and Wrist

Keywords

2nd Edition, CASE 17

2nd Edition

Hand and Wrist

wrist fracture

forearm bones

ulna

radius

imaging tests

pain management

sports medicine

rehabilitation

AMSSM

prevention