Distal radius fracture of the right wrist?
Hello, Doctor: The patient is an 11-year-old child who underwent surgical fixation with a steel pin for a distal radius fracture in the right wrist two months ago.
The X-ray images show good bone healing at this point.
May I ask if the patient can start participating in table tennis? The patient was a member of the school team before the injury.
Minghua, 20~29 year old female. Ask Date: 2022/05/06
Dr. Shi Guozheng reply Orthopedics
If the fracture has completely healed and there is pain in the joint area, but joint movement is normal, then you can start exercising.
Reply Date: 2022/05/06
More Info
When considering whether your child can resume playing table tennis after a distal radius fracture surgery, several factors need to be taken into account. Given that your child is 11 years old and underwent surgery two months ago, it is crucial to assess the healing progress and overall condition of the wrist.
From the information provided, it appears that the X-ray results show good bone healing, which is a positive sign. In general, if the fracture has healed adequately, and there is no pain or limitation in the range of motion in the wrist joint, it may be safe for your child to return to light activities, including table tennis. However, it is essential to ensure that the child is not experiencing any discomfort during movements that mimic the actions involved in playing table tennis.
The healing process for pediatric fractures is typically more favorable than in adults due to the remodeling potential in children. This means that even if there are minor residual deformities, the bones can often correct themselves as the child continues to grow. However, the extent of acceptable malalignment or angulation can vary based on the child's age and the specific type of fracture. For distal radius fractures, the acceptable angulation is generally around 15 degrees for children over the age of 10, but this can be more forgiving in younger children.
Before resuming any sports, it is advisable to have a follow-up appointment with the orthopedic surgeon or a pediatric sports medicine specialist. They can perform a thorough examination, including physical assessments and possibly additional imaging, to confirm that the wrist is stable and ready for the demands of table tennis. The doctor will also evaluate the child's strength, flexibility, and overall readiness to return to sports.
In addition to medical clearance, it is essential to consider a gradual return to activity. Starting with light practice sessions and progressively increasing intensity can help ensure that the wrist can handle the physical demands of the sport without risking re-injury. It is also important to monitor for any signs of pain or discomfort during these activities and to adjust accordingly.
Lastly, as your child is an athlete, it is crucial to emphasize the importance of proper warm-up and conditioning exercises to strengthen the wrist and surrounding muscles. This proactive approach can help prevent future injuries and ensure a successful return to competitive play.
In summary, if the X-rays show good healing, and there is no pain or functional limitation, your child may be able to resume table tennis. However, it is vital to consult with the treating physician for a personalized assessment and to follow their recommendations for a safe return to sports.
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