Radial Bone Issues: Recovery and Rehabilitation Insights - Orthopedics

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Issues related to the radius?


Doctor, thank you for always being so attentive in helping me resolve my concerns.
Last time you mentioned that my conditions are normal.
I understand that having a tight and inflexible wrist is normal.
However, I noticed that when I move my thumb up and down, the skin over the radius moves as well; when my thumb goes up, the skin above the radius dips, and when it goes down, it returns to normal.
(That area had a metal pin inserted, which seems to be where the fracture occurred, but the wound has healed now.) Is this normal, doctor? Why does this happen? Is it because the radius hasn't healed properly? Will it always be like this? Also, can I use a plastic bottle to rehabilitate my wrist and elbow? I'm worried about muscle adhesion, so I plan to start with a light bottle and gradually increase the weight as I improve.
Is that okay? I have many questions.
Thank you, doctor!

Guagua, 20~29 year old female. Ask Date: 2009/05/18

Dr. Li Wenlin reply Orthopedics


Hello: Guagua, you are doing great, keep it up! I hope everything goes smoothly! Dr.
Li Wen-Lin, Chief of Orthopedics, Keelung Hospital.

Reply Date: 2009/05/18

More Info


Thank you for your detailed inquiry regarding your radial bone issues and the recovery process. It’s great to see your proactive approach to understanding your condition and seeking rehabilitation insights. Let’s address your concerns one by one.

Firstly, the phenomenon you described regarding the skin over the radial bone moving or sinking in when you move your thumb is not uncommon, especially after a fracture and surgical intervention. When a bone is fractured and subsequently repaired with hardware like screws or plates, the surrounding soft tissues, including skin, muscles, and tendons, can be affected. The movement of the skin you observe could be due to the underlying hardware and the way the soft tissues have healed around it. As the tissues continue to heal and adapt, this movement may become less pronounced over time. However, it is essential to monitor this closely, as any significant changes or discomfort should be reported to your physician.

Regarding your concern about whether the radius has healed properly, it’s crucial to have follow-up imaging, such as X-rays, to assess the healing process. If the bone has not healed correctly, it could lead to complications such as malunion or nonunion, which might necessitate further intervention. Your orthopedic surgeon can provide the best guidance based on your specific case and imaging results.

As for your rehabilitation, using a lightweight plastic bottle for wrist and elbow exercises is an excellent idea. Gradually increasing the weight as you gain strength is a standard practice in rehabilitation. This approach helps prevent muscle adhesion and promotes flexibility and strength in the affected areas. It’s essential to listen to your body during these exercises; if you experience pain, it’s advisable to reduce the weight or intensity of the exercises.
Incorporating a variety of movements can also be beneficial. Focus on wrist flexion and extension, forearm pronation and supination, and grip strength exercises. These movements will help restore function and mobility to your wrist and elbow. Additionally, consider incorporating stretching exercises to maintain flexibility and prevent stiffness.

Physical therapy can be invaluable in your recovery process. A physical therapist can tailor a rehabilitation program specific to your needs, ensuring that you are performing exercises correctly and safely. They can also provide modalities such as ultrasound or electrical stimulation to aid in recovery.

Lastly, it’s essential to maintain open communication with your healthcare provider throughout your recovery. Regular check-ups will allow for monitoring of your healing progress and adjustments to your rehabilitation plan as necessary. If you have any concerns about the healing process or experience any unusual symptoms, do not hesitate to reach out to your doctor.

In summary, the movement of the skin over your radial bone is likely a normal part of the healing process, but it’s essential to ensure that the bone has healed correctly through follow-up imaging. Using lightweight objects for rehabilitation is a great strategy, and working with a physical therapist can enhance your recovery. Stay proactive in your rehabilitation, and best wishes for a smooth recovery!

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