Managing a Distal Radius Fracture: Tips for Recovery and Care

Right wrist radial fracture?

I sustained a right wrist radius fracture due to a fall on February 23, 2018.
I underwent manual reduction in the emergency room and was treated with a long arm cast without surgical intervention.
During a follow-up appointment on February 26, the doctor reviewed the X-rays and noted slight angulation at the fracture site, but it was still within an "acceptable" range.
Therefore, the decision was made to continue with the cast and monitor for any changes.

How can I maintain the fracture site to prevent displacement? Do I need to keep my arm in a sling around my neck at all times? How should I manage bathing and sleeping? Thank you for your response!

Mrs. King, 60~69 year old female. Ask Date: 2018/02/27

Dr. Li Yongheng reply Orthopedics

Hello, you have a right wrist radial fracture that has been immobilized with a long cast.
It is important to minimize movement of the shoulder, elbow, and wrist, but you should still move your fingers.
When lying down or sleeping, you do not need to use a sling; just rest your arm on your chest.
When showering, the cast should not get wet; if necessary, you can wipe your upper body and wash your lower body, and please ask a family member for assistance.
Wishing you a speedy recovery.

Reply Date: 2018/02/27

More Info

Managing a distal radius fracture requires careful attention to both immobilization and rehabilitation to ensure proper healing and restore function. Here are some tips and recommendations based on your situation:

1. Immobilization and Support
- Use of a Sling: It is generally advisable to use a sling to support your arm, especially in the initial stages after the fracture. This helps to minimize movement and reduce the risk of displacement. However, you should follow your doctor’s specific recommendations regarding how long to use the sling.

- Elevation: Keep your arm elevated as much as possible, especially during the first few days after the injury. This can help reduce swelling and pain. When sitting or lying down, use pillows to prop your arm up.

2. Bathing and Hygiene
- Protecting the Cast: When bathing, it is crucial to keep the cast dry. You can use a plastic bag or a waterproof cover specifically designed for casts to protect it while showering. Make sure to seal it tightly to prevent water from seeping in.

- Sponge Baths: If you find it difficult to keep the cast dry, consider taking sponge baths instead of showers until the cast is removed.

3. Sleeping Position
- Comfortable Positioning: When sleeping, try to find a comfortable position that keeps your arm elevated. You can use pillows to support your arm and prevent it from rolling over during the night. Avoid sleeping on the side of the injured arm to prevent pressure on the fracture site.

4. Monitoring for Complications
- Watch for Signs of Complications: Keep an eye out for any signs of complications, such as increased pain, swelling, or changes in color or temperature of the fingers. If you notice any of these symptoms, contact your healthcare provider immediately.

5. Follow-Up Care
- Regular Check-Ups: Attend all scheduled follow-up appointments with your doctor. They will monitor the healing process through X-rays and adjust your treatment plan as necessary.

- Adhere to Medical Advice: Follow your doctor’s instructions regarding the duration of immobilization and when to start gentle movements or physical therapy.

6. Nutrition and Bone Health
- Dietary Considerations: Ensure you are consuming a balanced diet rich in calcium and vitamin D, which are essential for bone healing. Foods such as dairy products, leafy greens, and fortified foods can help meet these nutritional needs.

- Hydration: Stay well-hydrated, as proper hydration supports overall health and recovery.

7. Rehabilitation
- Gradual Rehabilitation: Once your doctor gives you the green light, start gentle range-of-motion exercises to maintain flexibility in your wrist and fingers. Physical therapy may be recommended to help restore strength and function.

- Avoiding Strain: Be cautious not to put too much strain on your wrist too soon. Gradually increase the intensity of your exercises as advised by your healthcare provider.

Conclusion
In summary, managing a distal radius fracture involves a combination of immobilization, proper hygiene practices, monitoring for complications, and following up with your healthcare provider. Maintaining a healthy diet and engaging in rehabilitation exercises when appropriate will also support your recovery. Always consult with your healthcare provider for personalized advice and to address any specific concerns you may have during your healing process.

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