Is It Normal for Arm Shape to Be Indented After Fracture Surgery?

The appearance after the fracture surgery still has a slight indentation?

Hello, doctor.
I suffered a fracture of the ulna and radius in my right arm at the beginning of June this year.
My recovery has been going relatively well since the surgery, but there is still a noticeable indentation in the shape of my arm.
Is this normal? If so, how long might it take to fully recover?

hokori, 20~29 year old female. Ask Date: 2024/06/28

Dr. You Dianqi reply Orthopedics

It is recommended to consult your attending physician during your follow-up appointment.
Thank you.

Reply Date: 2024/06/28

More Info

After a fracture surgery, it is not uncommon for patients to notice changes in the shape of their arm, including indentations or asymmetry. This can be particularly evident in cases involving the radius and ulna, as these bones play a crucial role in the overall structure and function of the forearm.
The presence of an indentation or a noticeable change in the contour of the arm can be attributed to several factors. First, surgical procedures often involve some degree of soft tissue trauma, including muscles, tendons, and ligaments, which can lead to swelling and changes in the skin's appearance. Additionally, the healing process can result in scar tissue formation, which may contribute to the unevenness in the arm's shape.
In your case, since you had a fracture of both the radius and ulna, it is possible that the surgical intervention and subsequent healing process have affected the surrounding soft tissues, leading to the indentation you are observing. It is also important to consider that the muscles around the fracture site may have been weakened or atrophied during the period of immobilization, which can further contribute to the appearance of the arm.

As for the timeline for recovery, it varies significantly from person to person and depends on several factors, including the severity of the fracture, the type of surgical intervention performed, and your overall health and adherence to rehabilitation protocols. Generally, it can take several months for the arm to regain its normal shape and strength. In many cases, physical therapy is recommended to help restore function and improve the appearance of the arm.
Physical therapy can include exercises to strengthen the muscles, improve range of motion, and enhance overall function. It is essential to follow your healthcare provider's recommendations regarding rehabilitation, as this can significantly impact your recovery.
If the indentation persists or worsens, or if you experience pain, discomfort, or functional limitations, it is crucial to follow up with your orthopedic surgeon. They may recommend imaging studies, such as X-rays, to assess the healing process and ensure that there are no complications, such as malunion or nonunion of the fracture.
In summary, while it is not unusual to see changes in the shape of your arm after fracture surgery, it is essential to monitor your recovery closely. With appropriate rehabilitation and time, many patients experience significant improvements in both function and appearance. If you have concerns about your recovery, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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