Ulnar Styloid Fracture: Healing Time and Recovery Tips - Orthopedics

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Scaphoid tubercle fracture


On April 25, I had a motorcycle accident and an X-ray showed a left ulnar styloid fracture with a hairline crack.
At first, I couldn't even squeeze toothpaste with my hand, and my wrist couldn't rotate.
The doctor didn't put me in a cast or anything; they only prescribed anti-inflammatory pain medication and ointment.
I'm currently waiting for a follow-up appointment.
Now, I can rotate my left wrist to the left (although it's still slightly less than my right hand), and lifting objects weighing a few kilograms still causes a bit of pain.
Based on my current condition, how much longer do you estimate it will take to heal? Thank you!

Edwin, 20~29 year old female. Ask Date: 2020/05/22

Dr. Wang Jiacheng reply Orthopedics


I recommend that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary.
Thank you, and wishing you good health!

Reply Date: 2020/05/22

More Info


An ulnar styloid fracture is a common injury that can occur due to falls or accidents, such as riding a motorcycle. The ulnar styloid is a bony prominence on the distal end of the ulna, one of the two long bones in the forearm. This type of fracture can lead to pain, swelling, and limited range of motion in the wrist, as you've experienced.


Healing Time
The healing time for an ulnar styloid fracture can vary depending on several factors, including the severity of the fracture, your age, overall health, and how well you follow your doctor's recommendations. Generally, most ulnar styloid fractures heal within 6 to 8 weeks. However, some individuals may experience longer healing times, especially if there are complications or if the fracture is more severe.


Recovery Tips
1. Rest and Immobilization: Although your doctor did not prescribe a cast, it's essential to rest your wrist and avoid activities that could aggravate the injury. If you feel pain while performing certain movements, it's a sign that you should limit those activities.

2. Pain Management: Continue taking the anti-inflammatory and pain medications as prescribed. These can help reduce swelling and discomfort, allowing you to engage in rehabilitation exercises more comfortably.

3. Physical Therapy: Once your doctor gives you the green light, consider starting physical therapy. A physical therapist can guide you through exercises designed to restore strength and flexibility to your wrist. This is crucial for regaining full function.

4. Gradual Return to Activities: As your wrist heals, gradually reintroduce activities that involve wrist movement. Start with light tasks and progressively increase the weight and complexity of the activities as tolerated.

5. Range of Motion Exercises: Gentle stretching and range of motion exercises can help maintain flexibility in your wrist. However, these should only be performed under the guidance of a healthcare professional to avoid exacerbating the injury.

6. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased pain, swelling, or any new symptoms, contact your healthcare provider. This could indicate complications that may require further evaluation.

7. Follow-Up Appointments: Attend all follow-up appointments with your doctor. They will monitor your healing progress through physical examinations and possibly imaging studies like X-rays to ensure the fracture is healing correctly.


Prognosis
Given that you can already turn your wrist to the left and perform some activities, it seems you are on the right track. However, since you still experience some pain when lifting weights, it’s essential to listen to your body. Pushing through pain can lead to setbacks in your recovery.


Conclusion
In summary, while the typical healing time for an ulnar styloid fracture is around 6 to 8 weeks, your individual recovery may vary. Continue to rest your wrist, manage pain effectively, and engage in rehabilitation exercises as directed by your healthcare provider. With proper care and attention, you should expect to see significant improvement in your wrist function over the coming weeks. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your doctor for further advice.

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