Wrist Dislocation: Causes of Swelling and When to Seek Help - Orthopedics

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Hello! It sounds like you've been through quite an ordeal with your wrist dislocation following a car accident. It's great to hear that you've already received treatment and that your doctor was able to manually reduce the dislocation. However, the swelling you're experiencing can be concerning, and it's important to understand the potential causes and when to seek further medical attention.

Swelling after a wrist dislocation can occur for several reasons. First and foremost, it's common for swelling to develop after any injury, especially one involving the joints and soft tissues. This swelling is often a result of inflammation, which is the body's natural response to injury. When the ligaments, tendons, or other soft tissues around the wrist are damaged, the body sends extra blood and fluid to the area to promote healing, leading to swelling.

Another potential cause of swelling could be related to the immobilization of the wrist in a cast. While immobilization is crucial for healing, it can sometimes lead to fluid accumulation in the affected area, especially if the cast is too tight or if there is limited movement. It's also worth noting that if there was any bleeding or bruising associated with the injury, this could contribute to swelling as well.

In your case, the fact that you are not experiencing pain is a positive sign, as severe pain could indicate complications such as a fracture, nerve injury, or issues with circulation. However, it's essential to monitor the situation closely. If the swelling continues to increase, if you start to experience pain, or if you notice any changes in color or temperature in your fingers or hand, you should seek medical attention promptly. These could be signs of complications such as compartment syndrome, which is a serious condition that occurs when pressure within the muscles builds to dangerous levels, potentially leading to muscle and nerve damage.

Additionally, if you notice any numbness or tingling in your fingers, or if you have difficulty moving your fingers or wrist, these are also red flags that warrant immediate medical evaluation.
In summary, while some swelling is expected after a wrist dislocation and subsequent immobilization, it's crucial to keep an eye on your symptoms. If the swelling worsens or if you develop any new symptoms, don't hesitate to reach out to your healthcare provider. They may want to perform an examination or imaging studies to ensure that everything is healing properly and to rule out any complications.
Take care of yourself, and I hope you have a smooth recovery!