Wrist Pain: Long-Term Effects of Fractures and Joint Issues - Orthopedics

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Wrist - Fractures & Joints


Hello, Doctor, I would like to ask you some questions regarding issues related to the wrist! When I was in elementary school, I accidentally fell from a horizontal bar, landing on my left hand, which caused the weight of my body to compress it, resulting in a fracture of my left wrist.
After healing, I felt there were no significant sequelae.
However, as I have aged, I have noticed that my left hand has become weaker; when lifting heavy objects, I experience weakness and soreness.
Recently, due to work-related lifting, my hand has started to hurt.
I would like to know if this is related to the sequelae from the fracture or if it is related to the joints.
Thank you, Doctor.

Meng Meng, 20~29 year old female. Ask Date: 2017/06/11

Dr. Shi Guozheng reply Orthopedics


It may be necessary to visit the hospital again, as the two may not necessarily be related.

Reply Date: 2017/06/11

More Info


Wrist pain, especially following a fracture, can often be a complex issue that involves both the healing of the bone and the surrounding soft tissues, including muscles, tendons, and ligaments. In your case, having sustained a wrist fracture during childhood, it is possible that the long-term effects of that injury are contributing to your current symptoms of weakness and pain.

When a bone fractures, the body initiates a healing process that involves inflammation, bone regeneration, and remodeling. While the bone may heal adequately, the surrounding soft tissues can be affected as well. Scar tissue may form, and the muscles and tendons may not regain their full strength or flexibility. This can lead to a feeling of weakness or instability in the wrist, especially when lifting heavy objects.
As you age, the natural wear and tear on joints can also exacerbate these issues. Conditions such as osteoarthritis can develop, particularly in joints that have previously been injured. This degenerative condition can lead to pain, stiffness, and decreased range of motion, which may explain the discomfort you are experiencing when lifting weights or performing other activities.

Additionally, the mechanics of your wrist may have changed due to the previous fracture. If the bone healed in a slightly misaligned position, it could affect how forces are distributed across the joint during movement. This misalignment can lead to increased stress on certain areas of the wrist, resulting in pain and discomfort.

To address your concerns, it is essential to consider a few key points:
1. Assessment by a Specialist: It would be beneficial to consult with an orthopedic specialist who can evaluate your wrist through physical examination and imaging studies, such as X-rays or MRI. This will help determine if there are any structural issues, such as malunion of the fracture or signs of arthritis.

2. Rehabilitation: Engaging in a structured rehabilitation program can be crucial. A physical therapist can help you strengthen the muscles around the wrist, improve flexibility, and restore function. They can also provide you with exercises tailored to your specific needs, which can help alleviate pain and improve strength.

3. Pain Management: Depending on the severity of your pain, your doctor may recommend various pain management strategies. This could include over-the-counter pain relievers, topical treatments, or even corticosteroid injections if inflammation is significant.

4. Activity Modification: It may be necessary to modify your activities to prevent exacerbating your wrist pain. This could involve using ergonomic tools or techniques when lifting heavy objects, as well as taking regular breaks to avoid overuse.

5. Long-Term Monitoring: Given that you have a history of wrist injury, it is essential to monitor your symptoms over time. If pain persists or worsens, further evaluation may be necessary to rule out any underlying conditions that could be contributing to your symptoms.

In conclusion, the wrist pain you are experiencing could be related to both the long-term effects of your childhood fracture and the natural aging process affecting your joints. A comprehensive approach involving assessment, rehabilitation, and pain management will be key to addressing your symptoms and improving your wrist function. Always consult with a healthcare professional for personalized advice and treatment options.

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