Radial fracture in a 9-year-old child?
Hello, doctor.
Thank you for your clarification and advice.
We went to the hospital three weeks after the fracture to have an X-ray taken while wearing a cast.
It showed that the fracture at the distal third of the radius is not misaligned and that callus formation has begun, but the fracture line is still present.
How long after the fracture can my child resume practicing the violin, and when can they return to daily activities such as playing the violin, writing, and eating? When can they start swimming? Thank you again for your assistance.
Jesi, 0~9 year old female. Ask Date: 2020/07/05
Dr. Li Wenhong reply Orthopedics
Hello: After the removal of the cast (approximately 6 weeks), you can gradually resume daily activities, including practicing the violin and swimming.
However, immediately after the cast is removed, joint mobility may still be limited.
Do not push for technique or performance; these activities should be viewed as rehabilitation and should be approached naturally.
Changhua Hospital Orthopedics Dr.
Li Wen-Hong
Reply Date: 2020/07/05
More Info
When it comes to the recovery timeline for a 9-year-old with a radius fracture, several factors need to be considered, including the nature of the fracture, the child's overall health, and the healing process. Based on your description, the X-ray shows that the fracture is healing well, with no displacement and the formation of callus, which is a positive sign.
Typically, for a radius fracture, the healing process can take anywhere from 4 to 8 weeks, depending on the severity of the fracture and the child's age. Since your child is 9 years old, they are in a good age range for healing, as children generally heal faster than adults due to their growing bones.
1. Resuming Activities:
- Daily Activities: After about 4 to 6 weeks, if the X-ray shows good healing progress, your child can likely resume most daily activities, including writing and eating. However, it’s essential to ensure that the child is comfortable and not experiencing pain during these activities.
- Playing the Violin: For activities that require fine motor skills, like playing the violin, it’s advisable to wait until the fracture has healed sufficiently, which may take around 6 to 8 weeks. You should consult with your child's physician to assess the healing progress before allowing them to resume playing the violin. They may recommend starting with short practice sessions to gauge comfort and ability.
- Swimming: Swimming can typically be resumed around 6 to 8 weeks post-fracture, but this also depends on the healing status. Ensure that the child is comfortable and that the fracture site is not exposed to any risk of infection, especially if there are any open wounds or if the cast is still on.
2. Monitoring Healing:
- Regular follow-up appointments with your child's doctor are crucial to monitor the healing process. They may perform X-rays to ensure that the bone is healing correctly and that there are no complications.
- If your child experiences increased pain, swelling, or any unusual symptoms, it’s important to contact the healthcare provider immediately.
3. Rehabilitation:
- Once the doctor gives the green light, gentle range-of-motion exercises can be beneficial to restore flexibility and strength in the wrist. This can help prevent stiffness and promote a full recovery.
- Physical therapy may be recommended if there are concerns about strength or mobility after the cast is removed.
4. Precautions:
- It’s important to avoid high-impact activities or sports until the doctor confirms that the bone has fully healed. Engaging in such activities too soon can lead to re-injury or complications.
In summary, while your child may be able to resume daily activities in about 4 to 6 weeks, activities that require more dexterity, like playing the violin, may need to wait until around 6 to 8 weeks post-fracture. Always consult with your child's healthcare provider for personalized advice and to ensure a safe return to all activities.
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