![]() ![]() Having a lot of swelling can become uncomfortable or limit your movement. It's important that swelling is managed well to help your recovery. The amount of swelling can also change depending on: It's normal to have swelling near the fracture site. ![]() gradually increase the amount of weight you're carrying.6 to 8 weeks after your injuryĪs your injury recovers, you can begin to: You can start gentle exercises, as guided by your healthcare professional. It's not unusual to be stiff when your cast or splint is removed. keep your fingers and thumb moving by regularly opening and closing your hand to make a fistĪt this time, you'll come out of your splint or cast.maintain your shoulder and elbow movements.There are things you can do to help your recovery after a wrist fracture. If the splint is no longer fitting well please contact your fracture clinic.įurther information on having a cast fitted or removed. For example, to allow you to shower or bathe. If you've been given a splint, you can remove it for hygiene purposes. What to expect after a wrist fractureĪ wrist fracture can be debilitating as you can’t use your hand normally.ĭepending on the type of fracture you have, you may be immobilised in a cast or a wrist splint. If you have concerns about your medication talk to a healthcare professional.Īnti-inflammatory medication, like Ibuprofen or Naproxen, has been shown to delay healing. Some medications can slow down fracture healing. Some medical conditions, like diabetes, may slow down the healing process.Įating a healthy diet and keeping yourself active will help your recovery. Stopping smoking as your fracture heals will help to ensure the best recovery. In some people, it can stop healing altogether. Smoking affects all your tissues and slows facture healing times. There are some things that might affect your recovery. It's also normal for the area to be more sensitive for several months after the injury. This often happens when you try activities you haven’t done for a while. It's normal to have aches and discomfort beyond this. ![]() Parents should be provided with an information leaflet containing the above information.After a wrist fracture, most of the healing happens between 6 to 12 weeks. Once the splint is removed the children should avoid contact sports or high energy activities (such as rough and tumble play) for a further 3 weeks to avoid further injury If after 3 weeks the wrist still seems very sore, swollen, or the child is not willing to use it, please contact the ED secretary on 01 where follow up arrangements will be made. If the child remains in significant distress despite the splint and regular analgesia, they should return to ED for review. They will usually be fine to attend school after the first day. The child should receive regular simple analgesia for the first few days following injury. The splint should be worn for 3 weeks, but can be removed for bathing, showering and for sleep. These patients can be discharged with a parent information leaflet and no planned follow up. Splint can be used if there is a buckle seen on both radius and ulna. This has been shown to be at least as effective as a cast in terms of facilitating healing, but can promote earlier functional recovery. A rigid cast is not recommended 4, instead a removable splint should be applied. (demonstrating extension of fracture line to volar cortex with angulation of the volar cortex)īuckle fractures have excellent cosmetic and functional prognosis. Imaging Findings of the Distal Radio-Ulnar Joint in Trauma - Scientific Figure on ResearchGate.Įxample xray of greenstick fracture of distal radius: Buckle fractures of the volar cortex should be in the same way as greenstick fractures, with below elbow backslab and fracture clinic 1 week.Įxample xray of Salter Harris type 2 fracture of distal radius:.Ensure there is no angulation especially of the volar cortex.Ensure the fracture line does not extend to the volar cortex.From the case rID: 10733īe careful not to misdiagnose Salter Harris II or Greenstick fractures as a simple Buckle fracture, as these can be unstable 3 requiring immobilisation with cast, and orthopaedic follow up. The bulge may be seen at both the ulnar and radial aspects of the bone.Įxample xray of distal radius buckle fracture:Ĭase courtesy of Dr Maulik S Patel,. ![]() This is most frequently seen on the dorsal aspect of the distal radius but can appear on distal ulna or both distal ulna and radius. 1īuckle fractures are common injuries sustained by children >2 years old 2, typically following a fall on the outstretched hand.Īs the developing bone is relatively soft, the trabeculae is compressed, resulting in the appearance of a bulge. Incomplete compression fracture at the metaphysis of the distal radius, ulna or both in which one cortex is disrupted, and the other remains intact. ![]()
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