Wrist fracture
Hello Doctor, I was in a car accident on January 16th.
Afterward, I noticed swelling in my left wrist.
I thought it was a sprain and kept seeing a traditional Chinese medicine practitioner until January 20th, when I had X-rays and an ultrasound that revealed a bone fracture.
The doctor told me that surgery and a cast were not necessary, and that I just needed to wait for it to heal on its own.
Later, on February 2nd, I went to a larger hospital for a check-up.
I had X-rays again, but there was no sign of a fracture.
Both the flat and standing X-ray images showed no fractures.
The doctor said everything looked normal, and currently, I can move my fingers and my hand is no longer swollen, though it occasionally feels sore and tight.
I can also exert normal strength.
I would like to ask the doctor: 1.
Is it possible that the fracture healed, which is why it didn't show up on the X-ray, or did I never have a fracture to begin with? 2.
Can I confirm that it has healed? 3.
Is my left hand able to function normally now? Can I ride a bike? 4.
Will the bone heal on its own over time? 5.
How can I confirm that the fracture has healed? 6.
Are X-rays considered a form of imaging? If my hand was flat during the X-ray, does that mean both the upper and lower bones are normal? 7.
Can I start rehabilitation now? What kind of rehabilitation should I do? 8.
How long will it take to fully heal?
Hua Hua, 20~29 year old female. Ask Date: 2017/02/05
Dr. Shi Guozheng reply Orthopedics
After a fracture, healing typically takes a period of two to three months.
1.
It is possible that there is no fracture.
2.
If there is no fracture, then there is no healing issue.
3.
You can engage in activities such as cycling.
4.
It will improve; usually, it will heal in two to three months.
Reply Date: 2017/02/05
More Info
Wrist fractures, including those that may initially present as hairline fractures or stress fractures, can be a source of concern for many patients. Based on your description, it seems you experienced a wrist injury that was initially diagnosed as a fracture but later appeared to have healed without surgical intervention or the need for a cast. Let's address your questions systematically.
1. Healing Process: It is indeed possible that what you initially thought was a fracture was a minor injury that did not result in a significant fracture line visible on subsequent X-rays. Sometimes, small fractures can heal quickly, and the body has a remarkable ability to repair itself. If the X-ray taken on 2/2 showed no signs of a fracture, it is likely that the bone has healed, or it may not have been a fracture to begin with.
2. Confirmation of Healing: If the X-ray shows no fracture and you are experiencing normal function (i.e., you can move your fingers and wrist without significant pain), it is a good indication that the bone has healed. However, it's essential to follow up with your healthcare provider to confirm this and ensure that there are no underlying issues.
3. Normal Activity: Given that you can move your hand and fingers without pain, you are likely able to resume normal activities, including riding a motorcycle. However, it is advisable to ease back into activities gradually and listen to your body. If you experience pain or discomfort, it may be wise to limit certain movements until you have fully recovered.
4. Self-Healing of Bones: Yes, bones can heal themselves, provided the injury is not severe and the surrounding tissues are intact. The healing process involves several stages, including inflammation, bone formation, and remodeling. Adequate nutrition, including calcium and vitamin D, plays a crucial role in this process.
5. Determining Healing: To confirm that a fracture has healed, you can look for signs such as the absence of pain during movement, the ability to bear weight on the wrist, and normal function. Follow-up X-rays can also provide visual confirmation of healing.
6. X-ray Interpretation: X-rays are indeed a form of imaging that allows doctors to see the bones. If your hand was positioned correctly and no fractures were visible, it suggests that both the upper and lower parts of the wrist bones are intact and normal.
7. Rehabilitation: You can start rehabilitation exercises to regain strength and flexibility in your wrist. Gentle range-of-motion exercises can be beneficial. For example, wrist flexion and extension, as well as finger movements, can help restore function. It is advisable to consult with a physical therapist who can provide a tailored rehabilitation program based on your specific needs.
8. Recovery Timeline: The timeline for recovery can vary widely depending on the severity of the injury and individual healing rates. Generally, minor wrist injuries can take a few weeks to heal, while more severe fractures may take several months. Since you are already experiencing improved function, you may find that your wrist continues to strengthen and regain full function over the next few weeks.
In conclusion, it appears that your wrist has likely healed well, but it is essential to continue monitoring your symptoms and consult with your healthcare provider for personalized advice. Engaging in appropriate rehabilitation exercises will help you regain full strength and function in your wrist. Always listen to your body, and if you experience any unusual pain or discomfort, seek medical advice promptly.
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