Cartilage Issues Near the Wrist After a Fracture - Orthopedics

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Cartilage issues near the wrist radius?


Hello Doctor, I have read a bit about historical issues but I am uncertain, so I would like to gather more information.
I had a car accident and suffered a fracture of the radial bone in my right wrist.
After a month and a half, the bone healed, but the doctor mentioned that the cartilage was damaged.
I was advised not to lift heavy objects or perform activities that could strain the wrist, such as push-ups.
However, I was told that light exercises like gentle pull-ups are acceptable, and that pulling upwards with my hands is fine, but excessive compression of the hand should be avoided as it can further damage the cartilage.
If the cartilage is lost, it will not regenerate.
I would like to ask: 1.
How can I determine which activities are safe to perform? Should I avoid any movements that cause pain? 2.
If the cartilage continues to be damaged, what effects could that have? 3.
What nutrients can I supplement to promote cartilage healing? Thank you for addressing these questions.

jing, 30~39 year old female. Ask Date: 2017/07/18

Dr. Wang Shouji reply Orthopedics


Hello: (1) Avoid actions that compress the joints as much as possible, especially those that cause pain, and regularly monitor the cartilage space.
(2) Traumatic arthritis can lead to decreased joint cushioning ability, resulting in pain from bone-on-bone contact.
(3) Glucosamine may be used at most, but its effectiveness is not guaranteed and should depend on the extent of cartilage damage.

Reply Date: 2017/07/18

More Info


Understanding cartilage issues near the wrist after a fracture is crucial for ensuring proper recovery and maintaining long-term joint health. After a fracture, particularly in the wrist area, the surrounding cartilage can be affected, leading to potential complications if not managed correctly. Here’s a comprehensive response to your questions based on the information provided and general medical knowledge.

1. How to Determine Which Activities Are Safe:
After a fracture, especially one involving the wrist and the radius, it’s essential to listen to your body. If your doctor has advised against heavy lifting or high-impact activities, it’s wise to adhere to those guidelines. Generally, you can gauge whether an activity is safe by monitoring for pain or discomfort. If you experience pain during or after an activity, it’s a sign that you may be overexerting yourself or putting undue stress on the joint. Additionally, consider starting with low-impact exercises and gradually increasing intensity as tolerated. Activities like gentle stretching, range-of-motion exercises, and light resistance training can be beneficial, but always consult with your healthcare provider or physical therapist before starting any new exercise regimen.

2. Consequences of Continued Cartilage Damage:
If cartilage continues to be damaged, it can lead to several issues. Cartilage serves as a cushion between bones, and its deterioration can result in increased friction during movement, leading to pain, swelling, and reduced range of motion. Over time, this can contribute to the development of osteoarthritis, a degenerative joint disease characterized by the breakdown of cartilage and underlying bone. Symptoms of osteoarthritis include joint pain, stiffness, and swelling, which can significantly impact daily activities and quality of life. Therefore, it is crucial to take steps to protect the cartilage and avoid activities that may exacerbate the damage.

3. Nutritional Support for Cartilage Health:
While cartilage does not regenerate easily, certain nutrients can support joint health and potentially aid in the maintenance of cartilage. Here are some key nutrients to consider:
- Glucosamine and Chondroitin: These supplements are often recommended for joint health. They may help in maintaining cartilage structure and function.

- Omega-3 Fatty Acids: Found in fish oil, these have anti-inflammatory properties that can help reduce joint pain and stiffness.

- Vitamin D: Essential for bone health, vitamin D can also play a role in cartilage health. Ensure adequate sun exposure or consider supplementation if levels are low.

- Vitamin C: Important for collagen synthesis, vitamin C can help maintain the integrity of cartilage.

- Antioxidants: Foods rich in antioxidants (like berries, nuts, and green leafy vegetables) can help reduce inflammation and oxidative stress in the joints.

In conclusion, after a wrist fracture, it is vital to follow your doctor's advice regarding activity restrictions and to be mindful of any pain during movements. Continued cartilage damage can lead to significant long-term issues, including osteoarthritis, so it is essential to take preventive measures. Incorporating a diet rich in nutrients that support joint health can also be beneficial. Always consult with your healthcare provider for personalized advice tailored to your specific situation.

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