It will help protect your wrist if you fall. Wear a wrist guard if you do activities that raise your risk of getting a Colles’ wrist fracture. Strength training routines, which include exercises like weightlifting, target the muscles and bones in the upper half of your body. Weight-bearing exercises such as jogging strengthen the bones and muscles in the lower half of your body. ExerciseĮxercise helps strengthen your bones and muscles, which makes you less likely to fall and fracture a bone. You can take supplements if you can’t get enough from sunlight and your diet. Eating foods that contain vitamin D, such as salmon, can help you get the amount you need. You may need additional vitamin D if you don’t go outside much or if you use sunscreen every time you’re in the sun. You can get enough vitamin D from sunlight. If your diet isn’t giving you enough calcium, you can make up for it by taking calcium supplements. Make sure you’re getting enough calcium by eating dark, leafy green vegetables and low-fat dairy products fortified with calcium. Preventing a Colles’ wrist fracture Nutrition You’ll do exercises to help rebuild strength in your wrist and regain your normal range of motion. The most usual cause of Colless fracture. Physical therapyĭepending on the severity of your injury, you might have to work with a physical therapist or occupational therapist. Colless fracture is a distal radius fracture where the end of the radius is bent backwards at the point of the break. Specialty: Orthopedics, emergency medicine: Symptoms: Pain, bruising, and swelling of the wrist: Usual onset: Sudden: Types: Colles' fracture, Smith's fracture, Barton's fracture, Hutchinson fracture: Causes: Trauma. After surgery, you may need to wear a splint or cast to immobilize your wrist and help with pain relief. Distal radius fracture Other names: Broken wrist: A Colles fracture as seen on X-ray: It is a type of distal radius fracture. Your bones will be straightened and held together using pins, a plate and screws, or an external device that holds the pins in place. If your wrist is severely fractured, your doctor will recommend surgery to correct it. In most cases, the cast is taken off after a few weeks. This procedure, called a reduction, is done before your wrist is put in the cast. They may need to straighten the bone if the fracture is displaced. If your fracture isn’t serious, your doctor might place your wrist in a lightweight cast or splint and let it heal. Go straight to the emergency room if the pain is severe or if your wrist is numb. Schedule an appointment with your doctor immediately, or go to an urgent care center for medical treatment. Over-the-counter medications such as acetaminophen and ibuprofen can help relieve pain.ĭon’t try to straighten your wrist, and avoid moving it around. Putting an ice pack on the injury also helps reduce swelling. Elevate your wrist above the level of your heart to prevent further swelling. You can simply use a magazine wrapped around your wrist to help support it. In this case, I will perform an open reduction procedure, which involves the realignment of the bone fragments before they are held in place with an anatomically contoured plate and screws.The most important treatment initially is immobilizing your wrist in a splint. However, surgery may be recommended if the fracture is severe and the bones are displaced. A distal radius fracture may be splinted with a cast after the bones have been straightened. These are relatively common injuries and can occur as a result of trauma, such as a fall that is broken by an outstretched arm. Management of the fracture involves applying a splint to control pain and stabilise that point to prevent unnecessary motion, which in the process delays fracture healing.įractures of the hand and distal radius occur when the bones near the wrist are broken. Treatment for a distal radius fracture depends on whether the bone is displaced or non-displaced and whether the fracture affects the movement of the joint. higher energy mechanism more common in younger patients. fall on outstretched hand (FOOSH) is most common in older population. DEXA scan is recommended for women with distal radius fractures. The wrist drops due to the nature of the fracture. distal radius fractures are a predictor of subsequent fractures. As a result, the tip of the distal radius moves closer to the palm. In addition, a noticeable bump forms in the wrist as the distal radius pokes upward.Ī Smith fracture occurs due to a direct blow at the back of the wrist. As a result, the palm lands flat on the ground, similar to a fork bending forward. This type of fracture typically occurs when landing on the palm after a fall. A Colles fracture occurs when the palm sustains the most impact. This type of break occurs closer to the wrist and can be classified according to the angle of the damage done to the bone.Ī distal radius fracture is either (i) a Colles fracture or (ii) a Smith fracture depending on the angle to which the damage was done. The radius, a bone near the thumb, can fracture, resulting in a distal radius fracture.
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