Radial fracture
Hello Doctor: I sustained a dislocation of my right hand palm and a closed distal radius fracture due to a car accident on January 2nd.
I underwent surgery on the same day for reduction and had a cast and two external fixation pins placed.
Four weeks later, the cast and pins were removed, and follow-up X-rays showed that the bone has healed and the periosteum has regenerated.
Currently, in the fifth week, the wound from the pins has healed, and I have been doing rehabilitation at home for a week.
I would like to ask you a few questions: 1.
How long does it typically take for the bone at the pin site to fully close? 2.
The attending physician initially stated that there was no need to see a rehabilitation specialist and that I could rehabilitate at home.
If I perform wrist exercises moving up and down and side to side, could this cause re-injury at the pin site? 3.
If I want to ride a bike, how long should I rest before it is advisable? Thank you, Doctor!
Sanyu, 30~39 year old female. Ask Date: 2007/02/06
Dr. Shi Guozheng reply Orthopedics
Bone healing takes approximately six weeks, after which the joints can move freely.
It is advisable to undergo rehabilitation, allowing for movement in various directions.
However, one should avoid using excessive force when bending.
If riding a motorcycle, it is sufficient for the hands to have enough strength to turn or grip the handlebars.
Reply Date: 2007/02/06
More Info
Understanding distal radius fractures and their recovery process is crucial for ensuring optimal healing and regaining functionality. A distal radius fracture typically occurs near the wrist and can result from falls, accidents, or trauma, as you've experienced. Here’s a comprehensive overview of recovery and rehabilitation tips based on your situation.
Recovery Timeline and Expectations
1. Healing Process: After a distal radius fracture, the healing process generally takes about 6 to 8 weeks, depending on the severity of the fracture and the individual’s overall health. Since you mentioned that your fracture has already healed and the bone membrane has formed, you are likely on the right track. However, it’s essential to continue monitoring your recovery through follow-up X-rays as advised by your healthcare provider.
2. Bone Pin Removal: The bone pins used during your surgery are typically removed once the bone has sufficiently healed, which seems to have occurred in your case. The area where the pins were inserted may take some time to fully heal, and you should expect some tenderness or sensitivity in that region for a few weeks post-removal.
Rehabilitation Tips
1. Home Rehabilitation: Since your doctor has advised that you can manage rehabilitation at home, it’s important to follow a structured approach. Begin with gentle range-of-motion exercises to restore flexibility in your wrist. Gradually increase the intensity of these exercises as tolerated.
2. Avoiding Re-injury: When performing wrist exercises, be cautious not to overexert yourself. It’s advisable to start with gentle movements and avoid any activities that cause pain or discomfort. If you experience sharp pain or swelling, it may indicate that you are pushing too hard, and you should scale back on the intensity.
3. Strengthening Exercises: Once you regain a good range of motion, you can incorporate strengthening exercises. These might include using a soft ball to squeeze or resistance bands to improve wrist strength. Always ensure that you are not experiencing pain during these exercises.
4. Monitoring Progress: Keep track of your progress and any discomfort you experience during rehabilitation. If you notice persistent pain or swelling, it may be beneficial to consult with a physical therapist or your orthopedic surgeon for further evaluation.
Returning to Activities
1. Cycling and Other Activities: Regarding your question about when you can resume cycling, it’s generally recommended to wait until you have regained full strength and range of motion in your wrist. This can take several weeks to months, depending on your recovery. A good rule of thumb is to ensure that you can perform daily activities without pain before engaging in more strenuous activities like cycling.
2. Gradual Return: When you do return to cycling, start with short, easy rides to gauge your wrist's response. Avoid rough terrains or situations that could lead to falls until you are confident in your wrist's stability and strength.
Conclusion
In summary, your recovery from a distal radius fracture involves a careful balance of rehabilitation exercises, monitoring for pain, and gradually returning to normal activities. While your doctor has indicated that home rehabilitation is sufficient, do not hesitate to seek professional guidance if you have concerns about your recovery or if you experience any setbacks. Remember that patience is key in the healing process, and taking the time to rehabilitate properly will help ensure a full recovery.
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