Distal Radius Fractures: Surgery, Recovery, and Concerns

Q: Distal Radius Fractures: Surgery, Recovery, and Concerns

Hello： 1. The recommendation to avoid surgery is reasonable. 2. I cannot specify how much functional loss will occur without surgery, as it depends on the subsequent rehabilitation process. 3. Will there be side effects on the wrist? If there are, they should

Distal radius fracture

Hello, doctor.
I am the patient who inquired a few days ago.
Yesterday, I visited another physician, and after an X-ray, he informed me that my fracture has shifted approximately 1mm towards the palm side.
He also noted that my radius is almost at the same height as the ulna and that the fracture has already surrounded the area.
Although there are still cracks in the joint surface, the bone is healing.
He mentioned that unless I experience significant discomfort, surgery is not recommended because it would involve further damaging the bone.
He indicated that surgery would only be suggested if there is no improvement within two weeks.
I would like to ask: 1.
Is the recommendation to avoid surgery reasonable? 2.
If I do not undergo surgery, how much functional mobility might I lose? 3.
Are there any potential side effects for my wrist? 4.
If my elbow or palm lightly bumps against something, will it cause further displacement of the bone? (This doctor said using my phone is fine.) I have been increasingly anxious these days; every time my fingers or elbow touch something, I worry about potential displacement.

Chen, 30~39 year old female. Ask Date: 2018/08/29

Dr. Li Yongheng reply Orthopedics

Hello: 1.
The recommendation to avoid surgery is reasonable.
2.
I cannot specify how much functional loss will occur without surgery, as it depends on the subsequent rehabilitation process.
3.
Will there be side effects on the wrist? If there are, they should not be severe.
4.
Will a light bump to the elbow or palm cause displacement of the bone? No, it will not.

Reply Date: 2018/08/29

More Info

Understanding distal radius fractures is crucial for both patients and healthcare providers, especially when it comes to treatment options, recovery, and potential concerns. Based on your recent experience and the information provided, let's delve into your questions regarding your condition.

1. Is the recommendation to avoid surgery reasonable?
The decision to avoid surgery in the case of a distal radius fracture often depends on several factors, including the degree of displacement, the patient's age, activity level, and overall health. In your case, the fracture has a slight displacement of about 1mm, and if the bone is healing well without significant misalignment, conservative management may be appropriate. Non-surgical treatment typically involves immobilization with a cast or splint, allowing the bone to heal naturally. If the fracture is stable and the joint surface is not significantly affected, avoiding surgery can be a reasonable approach. However, close monitoring is essential to ensure that the fracture does not worsen.

2. What is the potential loss of function if surgery is not performed?
If surgery is not performed and the fracture heals properly, you may not experience significant loss of function. However, it is important to note that some patients may experience stiffness, reduced range of motion, or weakness in the wrist and hand after a fracture, regardless of whether surgery was performed. The extent of these issues can vary widely among individuals. Engaging in physical therapy and rehabilitation exercises post-cast removal can help restore strength and mobility. If the fracture heals well, many patients regain full function, but some may have lingering discomfort or limitations.

3. Are there any side effects to the wrist?
After a distal radius fracture, there can be several potential side effects, even with conservative treatment. These may include stiffness, swelling, and pain in the wrist. Some patients may develop complex regional pain syndrome (CRPS), a condition characterized by prolonged pain and changes in skin color and temperature. Additionally, if the fracture does not heal properly, there is a risk of post-traumatic arthritis, which can lead to chronic pain and reduced function. Regular follow-ups with your healthcare provider are essential to monitor the healing process and address any complications early.

4. Will light impacts to the elbow or palm cause displacement?
Light impacts to the elbow or palm, such as bumping into objects, are generally not expected to cause significant displacement of a well-healed fracture. However, if the fracture is still in the healing process, it is advisable to be cautious. While everyday activities like using a phone are usually acceptable, it is essential to avoid high-impact activities or heavy lifting until your doctor gives you the green light. If you experience any unusual pain or discomfort after such impacts, it is crucial to consult your healthcare provider for further evaluation.

In summary, the decision to avoid surgery for your distal radius fracture appears reasonable given the current assessment of your injury. However, it is vital to maintain open communication with your healthcare provider and follow their recommendations closely. Engaging in rehabilitation exercises post-immobilization will be crucial for regaining strength and function in your wrist. If you have any concerns or experience changes in your symptoms, do not hesitate to reach out to your doctor for guidance. Remember, healing takes time, and being proactive about your recovery will help you achieve the best possible outcome.

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