After it has healed, physical therapy is required for either a closed or open fracture. An open Colles' fracture, in which the bone protrudes through the skin, requires immediate (within 8 hours) surgery. A cast may also be used if so, it is left in place for approximately 6 weeks. During surgery, the bones are aligned, and then held in place with plates or screws, metal pins, an external stabilizer or a combination thereof. Surgery is required when the Colles' fracture cannot be repaired by placing the wrist in a cast alone. The cast is usually removed within 6 weeks, and physical therapy to strengthen the wrist prescribed. In both cases, a splint is worn for a few days until swelling goes away at that point, a plaster cast is put on. If the bones are out of alignment, they will need to be reset, either by a doctor's moving the broken bones by hand or during surgery. If the bones are in good alignment, a plaster cast may suffice. Treatment of a Colles' Fractureĭepending on the severity of the Colles' fracture, treatment varies. To diagnose a Colles' fracture, a physical examination is performed and X-rays taken to see the severity and exact location of the break. Immediate pain, particularly during wrist flexion.Symptoms of Colles' fractures include the following: Signs of a Colles' FractureĬolles' fractures are more common in women than men. The fracture is named after Irish surgeon and anatomist Abraham Colles, who was the first to describe this type of wrist fracture, in which the broken fragment of the radius tilts upward. In addition, the elderly are prone to Colles' fractures (as are those who have osteoporosis) because of the fragility of their bones. Because the distal radius usually breaks approximately 1 inch from its end, which is close to where it connects to the bones of the hand near the thumb, the injury is usually referred to as a "broken wrist." In the United States, Colles' fractures account for approximately 70 percent of all forearm fractures, and are typically the result of landing on a hand that has been extended to break a fall, or of a sports-related injury. It will help protect your wrist if you fall.A Colles' fracture is a break in the distal radius, which is the larger of the two bones in the forearm. Wear a wrist guard if you do activities that raise your risk of getting a Colles’ wrist fracture. Extension and Internal Rotation not performed until 6 weeks 4. Bony healing occurs usually within 6 to 8 weeks in adults 3. Non-displaced means less than 1cm of displacement and less than 45° of angulation 2. Strength training routines, which include exercises like weightlifting, target the muscles and bones in the upper half of your body. Non-Operative Proximal Humeral Fracture Rehabilitation Protocol General Principles: 1. 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. Physical therapyĭepending on the severity of your injury, you might have to work with a physical therapist or occupational therapist. After surgery, you may need to wear a splint or cast to immobilize your wrist and help with pain relief. 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. The most important treatment initially is immobilizing your wrist in a splint.
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