Wrist joint fracture
Hello, doctor.
I am the person who previously inquired about issue 138740.
First of all, thank you for your response, which has put my mind at ease.
I would like to ask, since my cast is fixed above the elbow joint, the doctor did not instruct me to use a sling to support my arm from the beginning, so I have been moving my elbow joint and fingers.
Will this worsen the displacement or affect the healing of the bone? I have been hesitant to move my hand these past few days.
With the cast in place, will the displaced part return to its original position, or will there be any long-term effects? Can it heal after rehabilitation? Also, is it permissible to hold items like a pen or toothbrush with the casted hand, or to assist myself while putting on clothes? Thank you for your response.
Chen, 30~39 year old female. Ask Date: 2018/08/27
Dr. Li Yongheng reply Orthopedics
Hello, excessive movement of the elbow joint immediately after a fracture can potentially cause displacement of the fracture.
However, since the fracture has been present for four weeks, moving the elbow joint and fingers should not worsen the displacement or affect the healing of the bone.
Regarding whether the displaced portion will return to its original position under cast immobilization: it will not.
As for the hand that is not in a cast, it is permissible to grasp items such as a pen or toothbrush, or to assist with dressing and undressing.
Reply Date: 2018/08/27
More Info
Wrist fractures are a common injury that can significantly impact your daily life and mobility. Understanding the recovery process, movement limitations, and rehabilitation strategies is crucial for a successful outcome.
When you sustain a wrist fracture, the primary goal of treatment is to ensure proper alignment and stabilization of the fractured bone. This is typically achieved through immobilization with a cast or splint. The duration of immobilization can vary depending on the severity of the fracture, but it usually lasts between 4 to 8 weeks. During this time, it is essential to follow your physician's instructions regarding movement and activity levels.
Regarding your concern about moving your elbow and fingers while your wrist is in a cast, it is generally acceptable to maintain some mobility in these areas, as long as it does not cause pain or discomfort. Gentle movements of the fingers can help prevent stiffness and maintain circulation. However, excessive movement or putting weight on the wrist can lead to complications, including misalignment or delayed healing. It is crucial to strike a balance between maintaining mobility in the unaffected joints and protecting the injured wrist.
As for the potential for displacement or complications, if the fracture is stable and properly aligned, minor movements of the elbow and fingers should not significantly affect the healing process. However, if you experience increased pain, swelling, or any signs of misalignment, it is essential to consult your physician immediately. They may need to perform imaging studies to assess the fracture's status and determine if any adjustments to your treatment plan are necessary.
Once your cast is removed, rehabilitation will play a vital role in restoring function and strength to your wrist. Physical therapy typically begins with gentle range-of-motion exercises to regain flexibility. Gradually, you will progress to strengthening exercises as tolerated. It is essential to work closely with a qualified physical therapist who can tailor a rehabilitation program to your specific needs and monitor your progress.
In terms of daily activities, using your hand for tasks like holding a pen or toothbrush should be approached with caution while in a cast. If your physician has advised against using your wrist for any weight-bearing activities, it's best to follow that guidance. Once your cast is removed, you can gradually reintroduce these activities, starting with light tasks and increasing intensity as your wrist heals.
Nutrition also plays a vital role in bone healing. Ensure you are consuming a balanced diet rich in calcium and vitamin D, which are essential for bone health. Foods such as dairy products, leafy greens, and fortified foods can help support the healing process. Staying hydrated and avoiding smoking and excessive alcohol consumption is also crucial, as these factors can negatively impact bone healing.
In summary, while it is generally safe to move your elbow and fingers during the healing process, you should always prioritize the stability of your wrist fracture. Follow your physician's advice, engage in rehabilitation exercises post-cast removal, and maintain a healthy diet to support your recovery. If you have any concerns about your healing process or rehabilitation, do not hesitate to reach out to your healthcare provider for guidance.
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