A fall on an outstretched hand is one of the most common causes of wrist injuries. While some result in minor sprains, others may lead to more serious issues like a fracture. In this blog post, Dr. Joseph Schreiber, a hand and wrist specialist at Raleigh Orthopaedic, explains what happens when the wrist is broken, what treatment options are available, and when surgery may be necessary.
By Dr. Joseph Schreiber Hand and Wrist Specialist
A fall onto an outstretched hand can result in several different injuries to that arm. Among the most common injuries is a broken wrist. There are several different fractures that can occur throughout the wrist, the most common is a break at the end of the radius bone. This is often referred to as a “distal radius fracture”. This is the most commonly broken bone in the body, with over 600,000 breaks in the United States per year. The injury is commonly seen both in kids and adults. A broken wrist will cause pain, swelling, bruising, and difficulty moving the wrist. More severe fractures can result in a deformity of the arm, or tingling in the fingers. These injuries are typically seen in an emergency department or in an orthopaedist’s office, and a splint will be applied.
If the fracture is displaced, meaning the bone it not well lined up, a “reduction” may be needed to set the bone. Typically, a local anesthetic (lidocaine) is injected near the fracture, and the Hand Wrist are manipulated to improve the alignment of the wrist. A splint or cast is placed, and if x-rays show the bone is in an acceptable position, the fracture is allowed to heal.
In general, a broken wrist takes about 6 weeks to heal. Once x-rays show that the break has mended itself, you can start using the wrist again. Sometimes therapy is helpful to improve strength and flexibility of the wrist.
Sometimes, in more severe fractures, surgery may be recommended. A broken wrist with several pieces, a fracture that has severely shifted, or a break resulting in an uneven joint surface, can all cause problems. More severe fractures can result in pain, decreased ability to bend the wrist, and can lead to arthritis if allowed to heal in a suboptimal position. Surgery can improve the alignment of the bone to minimize these risks.
The surgery needed depends on the age of the patient and the fracture. Some simple fractures, or fractures in kids, can be treated with temporary pins without making an incision. The bone is lined up with the assistance of a small x-ray machine in an operating room, and pins are placed through the skin to hold the bone in place. These pins are typically removed in the office several weeks later once healing is underway.
Some more severe fractures may require a small incision over the palm side of the wrist. The fragments of bone are lined up, and a metal plate and screws are used to hold things in place. The metal plate and screws allow people to start using the wrist earlier. Motion and light use of the wrist are started ~2 weeks after surgery. Once the bone has healed (~6 weeks), more vigorous activities are allowed. The metal plate and screws are made of titanium, they are usually left in place forever. They are very low profile, and not noticed by the patient (or airport metal detectors!).
Expert Hand and Wrist Care at Raleigh Orthopaedic
If you’re experiencing finger stiffness, pain, or locking that may be caused by trigger finger, the fellowship-trained hand and wrist specialists at Raleigh Orthopaedic are here to help. Our team offers both non-surgical and surgical solutions tailored to your specific needs, and we work closely with in-house physical and occupational therapists to ensure a smooth recovery.
Whether your symptoms are new or have been progressing over time, early evaluation is key. Schedule a consultation today and take the first step toward relief and restored function.
Schedule an Appointment with Raleigh Orthopaedic
If you’re dealing with pain, discomfort, or an injury, don’t wait to get the care you need. Our expert team at Raleigh Orthopaedic is here to help you feel better, move better, and get back to doing what you love. Schedule an appointment online or call us at 919-781-5600 to be seen—often within 48 hours. For immediate care, we offer walk-in orthopedic urgent care services. Click here for hours and locations.
Disclaimer: The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.