![]() ![]() However, x-rays do not always show scaphoid fractures. Visit a hand surgeon as soon as possible if you think you might have fractured your wrist.Ī scaphoid fracture is usually diagnosed by an x-ray of the wrist. Unfortunately, delaying treatment can cause problems. ![]() Because there is no visible deformity and no difficulty with motion, many people with this injury assume that it is a wrist sprain. Consider work assessment and rehabilitation.Most people with a scaphoid fracture (which is the same as a broken wrist) will have pain and/or swelling along the thumb side of the wrist within days following a fall. ![]() returning to work, or sustaining work tasks.experiencing difficulty with everyday activities.experiencing barriers to recovery, or if there is a strength, ROM, proprioceptive, and functional deficit, or if pain is a key feature.Consider allied health support if patient is:.Once POP is removed, request physiotherapy assessment for active exercise programme.Ensure early mobilisation of fingers, elbow, and shoulder from time of injury.Consider whether this is a minimal trauma fracture and contact Fracture Liaison Service for assistance arranging appropriate investigation and treatment.If after hours, consider analgesia and a back slab with referral the following day.Look for an associated avulsion of the ulnar styloid process.Most will require manipulation and reduction under analgesia.If there is obvious deformity or other signs of fracture, provide pain relief and immobilisation before X-ray. Check for tenderness in anatomical snuffbox looking for a scaphoid fracture. If mild trauma with a fracture, consider osteoporosis. The following information about wrist fractures in adults (external link) (external link) is taken from Auckland Regional HealthPathways, accessed April 2020: About wrist fractures in adults The content on this page will be of most use to clinicians, such as nurses, doctors, pharmacists, specialists and other healthcare providers. Read more about caring for your wrist following removal of your cast. Your recovery will be helped by using your hand as normally as possible for everyday activities and by doing any exercises your doctor recommends. It may take 4 months to 1 year to regain full use of your hand and wrist. Īfter your cast is removed, you may find your wrist is stiff, your skin dry or your hand swollen. Read more about care of your broken wrist while in a cast. positioning your arm with your thumb up rather than letting your arm rest with the palm down all the time as this will help lessen stiffness later.avoiding heavy lifting or activities that require your wrist to work hard.doing gentle exercises as advised by your health providers.keeping your arm elevated on a pillow or with a sling in the first week, but after that start to let your arm be part of your everyday life again.taking regular pain killers if you have any pain.There are several self-care measures that you can do to help the recovery of your broken wrist. This may involve physiotherapy or hand therapy. In both cases you will be given painkillers and be advised on the care following treatment. If you have a more serious fracture, your doctor will try to realign the bones together, either manually using hands or through surgery to insert pins, plates or screws to hold your bones in place. If you have a minor fracture, you will usually be treated with a cast or splint to hold your bones together and support your wrist while it heals. the number of bone fragments from the fracture.whether the bones break through your skin.whether the bones have moved or been displaced.Other factors that affect your treatment include: The treatment you receive depends on how bad the break is. Treatment of a broken wrist aims to put the broken bones back together so that the bone can heal properly and you get normal movement of your wrist back. In that case, you may get a repeat x-ray after a week or more, or have a CT scan or MRI scan, depending on what the doctor thinks is most useful. Sometimes, a wrist fracture is hard to see on an x-ray. These show the type of break and its location within the bone. The most common way to diagnose a fracture is by an x-ray. They will ask about how the injury happened, any symptoms and your medical background. Your doctor will assess your general condition, as well as the seriousness of your injury. If you think you may have a broken wrist, you should see a doctor straight away. ![]()
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