Rehabilitation Insights for Recovery from Closed Radius Fractures

Rehabilitation Perspective

After more than 7 months post-closed fracture of the radial head, the current range of motion is 20-100 degrees with relaxation at 10-110 degrees.
Is it possible to return to normal range of motion with continued rehabilitation? Additionally, the last two fingers are increasingly numb; how can this be improved and how long might the numbness last?

Fujian, 40~49 year old female. Ask Date: 2015/12/26

Dr. Hong Ximing reply Orthopedics

Radial head fracture, 7 months post-injury, uncertain if surgical reduction was performed.
Currently, the range of motion is from 20 to 100 degrees, indicating possible contracture.
Joint injuries can sometimes affect the ability to return to normal range of motion.
The numbness in the last two fingers may involve the ulnar nerve.
Please discuss this in detail with the attending physician.

Reply Date: 2015/12/26

More Info

Recovering from a closed radius fracture can be a challenging journey, especially when dealing with complications such as stiffness and nerve-related symptoms. Based on your description, it seems you are currently experiencing a range of motion from 20 to 100 degrees, with some relaxation allowing for a range of 10 to 110 degrees. While this indicates some progress, it is understandable to be concerned about whether you can return to a normal range of motion and how to address the numbness in your last two fingers.

Rehabilitation Goals and Expectations
The primary goal of rehabilitation after a radius fracture is to restore function and range of motion in the wrist and hand. The recovery timeline can vary significantly depending on several factors, including the severity of the fracture, the type of treatment received (surgical vs. conservative), and individual healing rates. In general, it is not uncommon for patients to experience stiffness and limited range of motion for several months post-injury.

Range of Motion Improvement
To improve your range of motion, it is essential to engage in a structured rehabilitation program that includes:
1. Therapeutic Exercises: Focus on both active and passive range of motion exercises. Gradually increase the intensity and complexity of these exercises as tolerated. A physical therapist can guide you through specific exercises tailored to your condition.

2. Stretching: Incorporate stretching exercises to help alleviate stiffness. Gentle stretching of the wrist and fingers can promote flexibility and improve your overall range of motion.

3. Strengthening: Once you have regained some range of motion, it is crucial to incorporate strengthening exercises. This will help support the wrist and improve functionality.

4. Manual Therapy: Techniques such as joint mobilization performed by a trained therapist can help improve mobility and reduce stiffness.

5. Heat and Cold Therapy: Applying heat before exercises can help relax muscles and improve flexibility, while cold therapy can reduce inflammation and pain after exercises.

Addressing Numbness
The numbness in your last two fingers may be related to nerve compression or irritation, which can occur after a fracture. Here are some strategies to address this issue:
1. Nerve Gliding Exercises: These exercises can help facilitate movement of the nerves and may alleviate symptoms of numbness. A physical therapist can provide guidance on appropriate nerve gliding techniques.

2. Ergonomic Adjustments: Ensure that your wrist and hand positions during daily activities do not exacerbate the numbness. Using ergonomic tools and supports can help reduce strain on the wrist.

3. Consultation with a Specialist: If numbness persists or worsens, it may be beneficial to consult a neurologist or a hand specialist. They can evaluate for any underlying nerve issues and recommend further interventions, such as nerve conduction studies.

Timeline for Recovery
While it is difficult to predict an exact timeline for full recovery, many patients see significant improvements within 6 to 12 months post-fracture. Consistent rehabilitation efforts can lead to better outcomes, but patience is key. It is essential to communicate regularly with your healthcare team about your progress and any concerns you may have.

Conclusion
In summary, with a dedicated rehabilitation program that includes therapeutic exercises, stretching, strengthening, and possibly manual therapy, there is a good chance you can improve your range of motion and address the numbness in your fingers. Regular follow-ups with your healthcare provider will ensure that your recovery is on track and that any complications are managed promptly. Remember, recovery is a gradual process, and staying committed to your rehabilitation plan is crucial for achieving the best possible outcome.

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