Ulnar and Radial Bone Displacement After a Fall

Q: Ulnar and Radial Bone Displacement After a Fall

Hello： If you still have questions regarding your condition, the best approach is to communicate face-to-face with your attending physician. <br>If you still have concerns or are unsatisfied, you may seek a second opinion from another orthopedic surgeon. <br>Generally speaking, w

Dislocation and fracture of the ulnar and radial bones in the hand after a fall?

Hello Dr.
Li,
Today, while riding my motorcycle, I was brushed against by a car making a right turn, causing my right arm to hit the ground directly.
When I got up, I noticed that the position of my right ulna and radius was different from what I had seen before (dislocated), and it also differed from the position of my left ulna and radius, which was quite obvious because I am relatively thin.
Later, when I went to the hospital for an examination, the doctor only mentioned that some bones in my hand were fractured and then applied a cast for stabilization.

I would like to ask you, Dr.
Li:
1.
Is it true that my displaced bones only need to be stabilized with a cast to heal?
2.
Are there any other better treatment options available?
3.
Will the position of my ulna and radius return to their original state?
4.
Will there be any long-term complications in the future? (For example, will I experience weakness when lifting heavy objects or sudden loss of strength?)
Thank you, Dr.
Li.

Niming, 10~19 year old female. Ask Date: 2009/06/25

Dr. Li Wenlin reply Orthopedics

Hello: If you still have questions regarding your condition, the best approach is to communicate face-to-face with your attending physician.
If you still have concerns or are unsatisfied, you may seek a second opinion from another orthopedic surgeon.
Generally speaking, wrist injuries may not require surgery, but they can still result in some limitations in movement.
If you wish to achieve a complete recovery, it is crucial to cooperate with your attending physician, follow medical advice, and continue with follow-up appointments.
Wishing you a speedy recovery!

Reply Date: 2009/06/25

More Info

Hello! Thank you for your detailed inquiry regarding your recent injury involving the ulnar and radial bones after your fall. It’s understandable to have concerns about the healing process and potential long-term effects following such an incident. Let's address your questions one by one.

1. Is plaster cast fixation sufficient for bone displacement?
In many cases of ulnar and radial bone displacement, especially if the displacement is not severe or if the fracture is stable, a plaster cast can be an effective treatment. The cast helps immobilize the bones, allowing them to heal in the correct position. However, if the displacement is significant or if there is a risk of improper healing, surgical intervention may be necessary to realign the bones properly. It is crucial to follow up with your orthopedic specialist to monitor the healing process through follow-up X-rays.

2. Are there better treatment options?
The treatment approach largely depends on the severity and type of fracture. If the fracture is stable and well-aligned, conservative treatment with a cast may be sufficient. However, if there is significant displacement or if the fracture is unstable, surgical options such as internal fixation (using plates or screws) may be considered. This allows for better alignment and stability, potentially leading to a quicker and more complete recovery. Discussing your specific case with your orthopedic surgeon will provide clarity on the best treatment plan.

3. Will the ulnar and radial bones return to their original position?
With appropriate treatment, many fractures heal well, and the bones can return to their original alignment. However, the extent of recovery can depend on several factors, including the nature of the fracture, your age, overall health, and adherence to rehabilitation protocols. Regular follow-ups and imaging studies will help assess the healing progress. If the bones heal properly, you should regain normal function.

4. Will there be any long-term complications?
While many individuals recover fully from ulnar and radial bone fractures, some may experience long-term effects. Potential complications can include stiffness, decreased range of motion, or weakness in the wrist and hand. In some cases, individuals may notice difficulty lifting heavy objects or a sensation of weakness in the affected hand. Engaging in a structured rehabilitation program, including physical therapy, can help mitigate these risks and improve strength and flexibility in the wrist and hand.

In summary, while a plaster cast may be sufficient for your current condition, it is essential to have ongoing evaluations to ensure proper healing. If you have any concerns about your treatment or recovery, do not hesitate to reach out to your healthcare provider for further guidance. They can provide personalized recommendations based on your specific situation. Wishing you a smooth recovery!

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