Broken Wrist - Diagnosis and Treatment Options
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- Опубліковано 8 чер 2024
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Wrist fractures are discussed including relevant anatomy, operative versus non operative treatment, complications and more.
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My name is Michelle. I am in my seventies. Broke both wrists while roller skating. I was given the option of having casts and spending weeks in a nursing home, or getting plates and going home in a couple of weeks. One week after surgery I had full finger use on both hands and had shown that I could take care of myself. My hands had been unwrapped and I had plastic temporary splints. I was sent home with a prescription for acetaminophen. I returned within a week to have the stitches removed. I continued my exercises, and now 6 weeks after surgery I have permanently removed my braces. Massaging the area around the scars helps ease the ache in the wrists.
Michelle
This is a SUPER PAINFUL SITUATION. Sending someone home on Tylenol after sawing into their bones is INHUMANE. I am 4 weeks post op and still in pain 24/7 despite pain meds. This is hell!
Hi nicola. We would not send patients home in Tylenol. It would likely include some type of narcotic. Sorry to hear you are having such a rough time. Thanks for watching and subscribing if you did
Hey Nicola, That’s a God awful way to be treated. I had the surgery with the titanium plate and screws. I had a prescription for Oxycodone. Yet the pharmacy (Walgreens) DID NOT want to fill it ) My granddaughter had to get an attitude. What the hell is wrong with ppl. The RX caused the pain to ease up but they made me sleep a lot.. Sorry you were not given proper meds Nicole. 😢
This is pure hell
Fractured right wrist, had surgery with plate and screws. Cast for 2 weeks now have plastic splint. The splint was done the same day I had stitches removed, and the pressure of the splint against the incision was very painful, to the point I had to remove it occasionally. Go for a follow-up tomorrow, I hope all is going well. Most people who hear about a fractured wrist don't appreciate the pain and suffering involved, especially if you live alone and have no help. Thanks for the informative video.
I love your videos! They’re so informative! I’m so happy 😀 that I found your videos! I have screws and a plate in my wrist do to a wrist fracture. I have a TKR in my left knee that failed and I have to have a revision done. How do you determine what type of component to use for a TKR? Is there one type that you use over another type?
Hi Gayle. The decision of which type of implant to use is primarily surgeon choice. Most companies have a wide variety of options and surgeons use the implants that they feel confident and comfortable with and often in conjunction with the contracts that their hospital has negotiated.
Thank you for taking the time for this. You’ve probably helped thousands including me.
Well that would be cool if we did southerner. You are very welcome. Thanks for watching and subscribing
I am so lucky to come across your video. I did not think too much about physio but now i am seriously considering. Also, bone stimulation, bone density , vit D injection. All are really useful in formation. Thanks for encouraging me too saying wrist fracture is forgiving bone fracture.
You are very welcome. Glad we could provide some hope Youn Mi Kim. Good luck!
Just recently fractured my right wrist. Had surgery and now stitches are out and now my recovery. Some pain and swelling but not extreme. Doing my exercises to keep my wrist stronger. Videos like these help out alot. Thanks.
Hi Anthony. Glad we could help and good luck in your recovery. Thanks for watching.
How are you doing now????? hope everything went well
Doctors, I'd like to ask a question if it's ok.
I am a 72 year old woman and I broke my distal radius and ulnar. I took horsetail and was out of my cast in 3 weeks. My bone healed nicely.
Hi Margaret. We are not familiar with horsetail but that is remarkable that you healed your broken wrist in 3 weeks. Keep up the good work.
I’m sorry about that
Just broke my wrist and having surgery Wednesday. This is really helpful thank you 🙏🏼
Good luck Bernie. Thanks for watching and subscribing
Thanks!
Thank you ! Kind of you !
Wonderfully informative videos ... thanks! X-Rays just showed I have a fractured scaphoid. My doctor spoke of reduced blood flow being an issue for healing for this bone. Is there anything I can do to help keep blood flow adequate so that healing and a proper bone union can take place?
Hi Gus. You are very welcome. The best thing you can do to increase your chances of healing is to be immobilized in a cast and stop smoking if you are a smoker. Other than that, it just takes time and this bone can be a little stubborn like your doctor told you. Good luck and keep us posted. Thanks for watching.
@@TalkingWithDocs Thanks for the reply. I can't get in to a local Orthopedic surgeon until next week. I am currently wearing a $20 stabilizing wrist brace I bought that has a Palmar splint on bottom. Is that reasonable for my non-displaced fractured scaphoid (waist location) for the time being? Is there any chance that would be enough immobilization for the six weeks or so? I am taking it easy and trying not to use that wrist at all. Thanks again for your time and the insightful videos.
How to treat ankle fusion..love your videos...great work
Hi drhawthorne53. We will add it to the list. Thank you very much. Thanks for watching and subscribing if you did.
Thank you for the video, I’m 67 just fallen off my bike broke then 2 main bones in wrist yes very painful, been in theatre and had plates ect in half cast back to fracture clinic in 4 weeks, by the way I live in the UK , I’m wishing myself a speedy recovery xxxx
Best of luck to you Janet. Miss Jackson if you’re nasty. 😀Thanks for watching and subscribing
@@TalkingWithDocsNasty Boys 😂😂😂😂
What great and informative videos. And fun! I had a major crushed wrist May 9, 2022, 2 surgeries 2 plates, about 40 pins, on both Radius and Ulnar bones. I was/am / have been a competitive bowler all my life. My 1st real and true love. My bowling ball weight is normally 15 lbs. My age 56. I hope and pray to heal and again bowling but my injuries are severe. What is your experience? Have you ever heard of a bowler breaking their wrist, undergoing er surgery, recovering and getting back to their sport with some normality? Thanks in advance for your response and help. With gratitude. Michelle
Hi Michelle. Sorry to hear about your injury. Sounds like the surgery was a real challenged. Returning to sport is possible for sure but often there will be some limitations. There are so many variables. Get the bone healed and then work your buns off in physio. Best of luck. Thanks for watching and subscribing
Just had wrist surgery. Due to a fall. Good info. To know. Thank you
You’re very welcome. Good luck during your recovery. Thanks for watching and subscribing
Excellent - many thanks from the UK. I broke my wrist yesterday and unfortunately I do have to have it wired or have a plate put in on Friday - all being well. Not exactly cheering but forewarned and all that :/
Hi Euphrosene. So glad we are reaching the UK! Hope your surgery went well and that you are on a fast track to healing!
Thanks for the nice video. Do we need to wait for six weeks after wrist surgery for physiotherapy and exercises to start? My doctor advised a portable splint with metal after 2 weeks of surgery and advised physiotherapy. So there is some confusion about physiotherapy timings after watching your video. Please clarify. I have a plate in my wrist now.
Hi Sanjiv. It really depends on the fracture and how much healing has taken place. Thanks for watching and subscribing if you did
wow, this video is from 3 years ago, but great advice, my question to you is i just had surgery for my distal radius , and from the pictures of the post op surgery , one of the screws goes all the way through the bone a bit..is that normal? or should of it been flush,like the other pictures i am seeing?, 7 days after my surgery and seems to be healing ok, just a little tingling, and my arm falls asleep sometimes, go back in 7 days to get my sutures out.
Hi terrip712. So sometimes the tip of the screw will go through the far side of the bone. Usually it is not an issue but sometimes it can irritate soft tissues in that location if it has gone far past the cortex of the bone. Hope that helps. Thanks for watching.
Hi docs!
I've undergone distal radius surgery 3 months before with K wires. Post 6 weeks, pins were removed and I started Physiotherapy for 15 days. Currently I do not have swelling and my hand appears to be normal. The only issue is I do not have movement from the wrist. Like up and down and side ways. Kindly advise what could be done or what's wrong as per your experience. Thank you!
Hi Kiran. Without examining you or seeing your xrays it is difficult to give specific advice however 3 months after surgery it is not uncommon to still have some residual stiffness in your wrist. The main way to increase range of motion after a fracture is to continue with a supervised physiotherapy program and controlling the pain. Hope that helps
Good video
Thanks Leonie! Thanks for watching and subscribing
I’ve never broken a bone but that was a lot of help
Thanks Aidan. Hopefully you never do! Be safe
Thank you so much for your informative videos you have been posting! I am commenting on this video today because I have a question and I cannot seem to find much information on it. I commented on one of your videos about two months ago asking about my broken wrist and you responded. I am emailing you today because I have fully recovered from my broken wrist and I am still getting a tremendous amount of pain in that wrist almost 7 weeks after getting my cast off. Is this normal? I am supposed to go back into my orthopedic in about 1-2 weeks from now for a final appointment but I was wondering if you had any information until then. For reference of my injury, I fell playing tennis and broke both bones in my wrist and slightly dislocated one of the bones. I did not need surgery. Please let me know if you know anything on this and I also emailed you this same thing.
Thanks so much!
Hi Grace. Depending on the fracture pattern this is not entirely uncommon. It can often takes months to get better. Likely an X-ray ar follow up to make sure all is well then more Physio. Best of luck to you! Thanks for watching and subscribing if you did
Hello Doctors. Thank you for detailed information about the wrist fracture. I have injured myself from one two days back. The doctor in the ER took an X-ray and put a cast on. He said that the wrist is broken and cast is needed. However it’s been 48 hours since the cast has been put. I still feel pain in the injured area. Is this normal. Generally how much time does it take for the pain to reduce? Will this heal normally. I am 39 years old.
Hi Abhijeet. Usually a broken wrist will be sore for at least a couple of weeks. Keeping it elevated may help. We assume you are scheduled to see a surgeon to get a proper cast put on in replace of the splint. Usually 5-6 weeks in a cast depending on the fracture. Then physio. Good luck and thanks for watching.
Doctors Zalzal and Weening,
I discovered your UA-cam channel after I broke my wrist. I find I enjoy watching all your videos and love your sense of humor.
I'm a 75 year old man and I'm 10 weeks out from distal radius fracture.
I was given a cast as opposed to surgery. Radius seems to be healed, but I've got a lot of pain on
the ulnar side when I twist my wrist. They tell me I've got ulnar positive/ulnar neutral alignment and
my ulna sticks out as a big bump and the hand is now misaligned. It seems my radius shifted while in
the cast and is now shorter than before. Any thoughts as to how I might want
to proceed or how common the kind of pain I'm experiencing is after a wrist fracture? My orthopedics doctor
thinks the pain is probably due to stiffness, but I'm not convinced that time is going to reduce the pain.
It's very painful.
Thank you,
Eugene
Hi Eugene. This is not uncommon as the radius usually loses some length after fracture making the ulna effectively longer. It will likely improve with time. If the pain is debilitating you can undergo an osteotomy to correct the length issue. Hopefully that is not necessary. Lots of physio for now. Thanks for watching and subscribing
Great video... 5 weeks post fractured distal radius.. violin player ...doing well but wondering based on the supination challenges... is it possible to get make full recovery... physio. Weekly
Thanks Breedge. It is important that there is always some component of your injury that can be irreversible but full recovery is the goal. It would really depend on the severity of your injury to be honest. There is no substitute for hard work.
I am also a violinist and I suffered a distal radius fracture and I am two weeks post op and I have supination challenges... were you able to recover fully from the supination challenge?
@@CJ-nv7zf sorry to hear your misfortune. I'm 3 years on.. was bk playing gradually after 6 months or less but worked so hard ..exercises and physio. Coulnt reach the finger board at first but kept at it. Can play better now .. so you will get there patience and tolerance of discomfort .
I fractured my right wrist 6 months ago it’s set with a twist plus I still can’t rotate my wrist around to plan up. Will this get better in time ?
Thank you for the info. i was hoping to do exercise on my own after cast removal but i see the need for physio now. i'm 64 and need my ROM back.
Good luck Pam
Hello, thanx for a video. I broke my wrist and had intraarticular fracture of the distal right radius. Had a surgery yesterday and plate and screws were installed. Is it the best way to heal that kind of injury? Do u think that i can come back to my sport activities like (tennis, golf, boxing) after such injury? If yes how much time it can take?
29yrs, male
Hi Harvey. So if the pieces are displaced often a plate is required. It is hard to say how recovery will go. Often people return close to their prior activities but the wrist can become stiff. Wishing you the best of luck. Thanks for watching and subscribing
Hello, I am 2 weeks post-op distal radius fracture. I received a splint cast already, which surprised me being 50 yo Female. I was a bit dismayed to see my wrist a bit crooked looking and lots of swelling especially at my thumb. Is it normal to have a crooked appearance in the wrist and arm at this stage?
Hi Kristine. Often the wrist will look crooked for quite some time and potentially permanently. The important thing to focus on is function. You will likely be followed with regular xrays to confirm the bones are healing. Then lots of physio! Good luck.
If you had a 18 year old very active patient who suffered a wrist fracture 6+ months ago and is still in significant pain what would you think might be causing it
The best way to assess that would be with a physical examination and a new xray. Often the soft tissues lag behind what the bone is doing. If it is related to stiffness, often more physiotherapy will help. If that failed to provide the answer you may benefit from a CT scan or an MRI. Hope that helps
Well done for the video ! I just fall at work hurt my right wrist 😩, my manger pull ice on for 10 minutes. When ice removed I felt more painful to lower my arm. I barely drive to home instead I drive to hospital because was nearby. When waiting I got very painful I knew may broken the bone after X' Ray was T bone with cad ans S on for momb my arm but how soon I can so my exce?
Usually takes 4-6 weeks to heal. Best of luck
They said I had a comminuted fracture (said I shattered it) & I believe radius .. no doubt it was broken. Didn’t need a Dr. to tell me that lol.
Surgery was something I didn’t want and it took more than half the time for them to tell me I could go without. The residents wanted to go all out and do surgery from the first time lol .. Dr. finally said he could not advise me, it could go either way, so it was my choice not to.
I believe with surgery, it heals faster? Less PT or less time healing? I think. Anyway.. I did not want something in my wrist and glad I didn’t HALF to have surgery. (To be honest, I was afraid that something in my wrist would make it feel cold, all the time. Especially in winter. And I didn’t want that.
I dumbly broken it roller skating when my wheels caught each other and I went straight down. After XX yrs of skating, I was a bit surprised I broken a bone. First one, ever. Boy did it HURT.
Supination (I think) or making it go all the way over, is more my problem since mid-2021. Almost there. I guess the cast keeps it from going over all the way and that has been my biggest problem. All I got was Tylenol 3 (which was fine).
Post-traumatic osteoarthrisis :O .. so far, I don’t have it.. when do you know?
The largest problem is swelling and absolutely no mention from Dr. about it, and I still have it (probably because I still do PT, myself). Took me until xmas 2023 to get rings off and off, normally but it is still there. Family Dr. had zero idea about swelling.
You know what you do during that time? STARVE.. I could not even open a yogurt. Thank GAWD for uber eats. Once a day I ate.
I had manipulation of the fracture and it was great till I banged it and knocked it and it moved slightly ugh.
They have said that it's healing so are going to leave it for the further 3 weeks and xray again.
Hope it will be solid enough for me to use my crutches as I'm a full time user, I'm exercising a lot daily to keep it moving 😊
Fractured my distal radius in two places. One is up my arm and the other is across the wrist. Now have a plate with eight screws. It's been two years now and still having trouble with pain in the rotation. Also when I push on my thumb it sends a sharp pain up my tendon I believe. Think thats where it. My surgeon is does not recomend removal. Even to do a push up still hurts to put weight on the wrist. Does this seem normal? And should I go ahead with another surgery to remove the hardware? Thanks and waiting for your reply. Again thankyou
Eddie
Hi Eddie. Thanks for your question. It is difficult to answer your question without examining you and your films. Having said that, the pain and dysfunction you are experiencing can be caused by the fracture itself or the hardware - and sometimes both. Having hardware removed does carry some inherent risks of surgery but in addition to that, it may not resolve the symptoms you are concerned about. If you are having a lot of trouble, it is not unreasonable to get a second opinion. Hope that helps. And thanks for watching
@@TalkingWithDocs Thankyou for your time.
Thanks so much for this video. In my case I tripped over the cat :-) and it is Christmas morning. I am not looking forward to spending the day in the ER waiting to be triaged in. So, since ibuprophin and ice has controlled the pain and swelling, I will immobilize and elevate the wrist till urgen care is open tomorrow. Thanks again.
btw, love the hats.. and Merry Christmas.
Oh no Christy. Love the 🐈. Hope everything works out ok for you. Merry Christmas! Thanks for watching and subscribing if you did
I'm i suppose to exercise right after having plaster
I am post opt two months distal fracture with plate and screws...just had carpal tunnel...having what feels like tendon impingement in the joint...but doc said it cant be....I say thats what it feeling like ...very uncomfortable...wrist gets as hard as a block on radial side cant make a fist let alone flex and supinate...you can actual see tendon flexor being held taunt...what questions should I be asking..Im desperate fore relief
Hi Ma Sue. It thankfully is still early in your recovery. Tendons can certainly run over the plate and become somewhat irritated. Did you have a carpal tunnel release? A lot of these types of symptoms will improve with time and physiotherapy. As long as the bone has united on xray usually it's just lots of hard work with your therapist. Having said that, some component of your injury may be irreversible and there can be some limitations after any fracture. Expectations are probably best discussed with your surgeon. Last resort is hardware removal but usually not for at least a year. Hope that helps.
Talking With Docs thankyou...just hard carpal tunnel release last week...woke of this morning wrist was a block...there is possibility flexor tendon can get stuck as well right? Under edge of plate ...its right at base of my thumb it feels it gets stuck...the main tendon that runs down your forearm has deviated to the thumb side...isnt running down middle of my forearm and i think thats whats geeting stuck
Question: so I fractured my radius about a week ago and was put into a cast. After about a week I was having pins and needles feeling in my hand and fingers. My ortho removed my cast and said my fracture was mild enough to be put into a splint/ brace instead. I'm worried its not good enough and that my bone will move. how possible is that? and Is it normal for a doctor to do that? Thanks loved the video!
Hi Brittany. So sometimes a very subtle undisplaced fracture can be treated in a splint. The pins and needles can be related to swelling, the cast and some local compression. Just be careful and it will likely be ok! Thanks for watching and subscribing
broke my wrist in december..slowly getting better..my hand and fingers are still swelled and sore...what puzzles me is..why is the bicep part.[about 7 inches above my elbow] so pain full, im in constant pain every day.??? any suggestions or advice i would be greatful.x
Hi Carole. That sounds a bit unusual and is likely not related to your wrist fracture but may be related to the same incident. It may be wise to get your elbow assessed as you may have injured your distal biceps. Hope that helps.
Please only have an upper extremity dr treat your fractured wrist. I made a huge mistake by letting a common ortho waste my time and not help with an obvious complex malunion and tfcc tear
Yes it depends on the problem but sometimes an ultra specialist is required
Do you deal with wrist sprains?? I extended my arm behind me when I was falling, my wrist swelled up to the size of my knee! How would you treat that?
Hi Pete. Typically rule our fracture. Ice rest then physio. Sometimes a splint for a short period. See your doctor if concerned for sure. Thanks for watching and subscribing
These videos are fantastic. Great to learn the Ortho side of my job in Xray. Often wonder about the treatment of the patients I xray through the ER and fracture clinic.
Can you do a video about a Tibial Osteotomy? Such an interesting surgery to watch you two perform.
Or a video of interesting cases you've come across.
Sincerely, your OTMH xray tech 😊
Certainly high tibial osteotomy is an interesting procedure and one that we are interested in. It is on the list for future videos. Thanks for the suggestion!
Hello Dr's, I was using a hammer for a length of time and picked up a bucket of tools and heard/felt a snap or pop in my wrist. I am 100 percent sure a tendon or ligament tore or was ruptured. Very painful still one week later. Any idea what it could be? I have an appoint scheduled with an ortho Dr. but it is 2 wks away
Hi Pa Fish. There are multiple ligaments and tendons in your wrist. Best to get assessed and if ongoing pain likely an MRI. Good luck. Thanks for watching and subscribing
I was working out felt my wrist hurt never felt this before pressed on it with other hand pain went away after 3 seconds 5 hours later still no pain just warmer than the other wrist but it functions well and appears the same.
Should I just take 2-3days off rest eat and stuff then have an easy week next week. would that be enough.
Hi hadhad129. Your plan sounds reasonable. In general pain and common sense are good guidelines for activity in the setting of any type of injury. If the pain comes back, you could then consider being formally assessed.
thanks
You are very welcome. Good luck
I broke my wrist after a fall and I had a band put on my arm tightly while the Doctor pulled on my wrist to put my bones back in alignment before putting a cast on. They left the band on for a while after they had set the bones can you remind me of what the procedure was called. I still get a lot of pain in the wrist.
Hi dercarsus. We think you are referring to a finger trap for traction. It often helps pull the bones apart to set them. Hope that helps. Thanks for watching and subscribing if you did.
I’m 5 days post op from a open compound fracture to my left wrist I’m in agony and so angry with myself as I done the same thing to my right arm less than 6 months ago.
Hi Doctor. I broke my ulna near the wrist and had done ORIF with plate and 5 screws. After two weeks my doctor removed the splinter and advice me cast is not required. i am kind in dilemma now is this okay? any risk for my hand. can you please explain me whether its okay
Hi charith. All cases are different but typically when you have internal fixation in place you will not require exterior support for prolonged periods of time. Hope that helps. The goal is to get you moving sooner to prevent stiffness. Thanks for watching.
I had a distal radius ulna fracture had surgery 5 weeks ago.everything is coming back to normal but i noticed having trouble turning my wrist fully is this normal.and is it likely id make a full recovery???
Hi Natty. This is quite common after wrist and forearm surgery. Supination (or turning your palm up) is often one of the hardest motions to regain. Only time will tell how close to normal it will get but typically it will improve with physiotherapy. Hope that helps. Best of luck and thanks for watching.
@@TalkingWithDocs thanks alot for the reply i will keep that in mind.
I broke my wrist Feb 25th went to emergency it was a fracture of distal end of radius. Cast doc the 28th put me in splint due to swelling. Got cast march 15th. Cast off april 9th, arm looked very deformed, I was put in a removable splint, and told to get physical therapy. It is now May 19th my arm is very deformed looking with a huge lump on the top of my hand and a HUGE PAINFUL mushy lump on the inside on the wrist at palm of my hand. They do not know what it is and said check back with us in three or four months. I even explained to them I am having excruciating pain numbness and tingling every morning. Is this normal for most ppl? Am I just freaking myself out?
Hi Suzanne. Wrist fractures can be complicated and often are painful for quite some time. Restricted range of motion and deformity can be part of the process. Some of it can improve. It really depends on the fracture pattern. It is normal to be concerned. You should definitely discuss this with your surgeon to decide how to proceed.
Honestly I would request an X-ray for your break. Hopefully by now your injury is fixed . mine was deformed and I broke my distal radius fracture due to car accident. And after surgery my hand is so much better now, the surgery was on July 23rd.
Suzanne how is your wrist now I broke my 5 weeks ago.
I'm looking for advice. I broke both wrist bones. My orthopedic wants to put a plate in my wrist. I've known people with plates and rods and screws who ended up worse off because of the plates. I've told this guy I need to think about it. Not so sure I want metal in my wrist. They r very pushy about me getting it done. But it's my decision, not theirs. I'm not sure if I should get the surgery.
Hi techchick34. So we agree to avoid surgery if possible but some fractures do require open reduction. Maybe second opinion? Good luck. Thanks for watching and subscribing if you did
I Have just had wrist surgery Dr put in platinum on the broken bone does the platinum stay in your wrist or is it removed after a year or so. I noticed a small swelling on both sides of my wrist so I worried. I do enjoy videos very professional thank you ,,
Hi GINA. Congrats. Usually it can stay in forever. Thanks for watching and subscribing
I had wrist fracture and was treated with a cast. The cast is removed a month ago. I have reasonable wrist motion. But there is something obstructing in the wrist. Like a tube is obstructing it and when I move it there is a jerk as the motion goes over that tube and comes back. Is this normal?
Hi Raj. This can be normal. Often the capsule of the wrist will be thick and stiff. It should improve with time. Best of luck. Thanks for watching and subscribing if you did.
Hey doc is it true that a Barton volar fracture most time requires surgery?
It sure is because that close fragment is unstable due to the pull of the soft tissues. Usually a volar plate. Thanks for watching and subscribing
Good video, but do you have advice on broken wrist = Scaphoid break and bone death = surgery and screw (result great, but 30 yrs later have some OA, plus I can tell what the weather's like without looking out the window)
Hi Andy. The scaphoid is complicated and when broken can lead to avascular necrosis which would lead to OA. It is a typical pattern of degeneration that takes place over decades. Then you have to decide how much pain you are in to determine the right treatment path. Best of luck. Thanks for watching and subscribing if you did
Thank you for monitoring. Hand-cranking vintage engine. Heard a 'crack'. Considerable pain dominant RH. First X-Ray too soon and re-break of an earlier break not confirmed until months after. Nuclear can showed break + bone death. One Titanium Herbert screw installed day surgery plus long duration cast. 35 years later hand is great. Full return to work as a workshop teacher. A small amount of pain at full flexure, slight loss of mobility and slight OA remains today. Very grateful to my surgeon. My mate on a farm with same fracture did not follow his doctor's instructions and never regained adequate use.
they say if surgery is done will prevent future arthritis and remove deformation, now you are saying we might have arthritis and no deformation fix. then its better do the cast. my dislocation is20 degree. something upset me, the doctor did not even check, touch my wrist, my arm, he just looked at xray, he gave me 2 options splinter and cast after with longer healing, the surgery will be light brace use, pin, fast recover and deformation removal. how come my primary physician did not order mri to check the tendons ligaments, are they trying to save money on me. i wonder if i tried cas first, if does not work, can i still try surgery as last resort?
Hi Tut. So no MRI needed for a fracture. Surgery depends on the amount of angulation, shortening and any step in the joint. If Undisplaced cast is best. Good luck. Thanks for watching and subscribing if you did
I can bend my hand up and down but I cant twist without pain. Its swollen. I fell backwards on my palm. Is it a fracture or sprain?
Hi bunnylover460. So the only way to know for sure is to get an xray. Good luck and keep us posted! Thanks for watching, subscribing and sharing if you did.
Doc is this possible that dislocated bone don't have fracture? Like elevated Ulnar Head
Hi Vincent yes it is possible to suffer a dislocation without a fracture. Good question. Thanks for watching, subscribing and sharing with someone if you did.
Thanjs for the bullshir
Bullshit
I am 39 years old, I fell from the chair with wheels on the carpet and broke my wrist. They diagnosed distal Fracture, and told me is borderline . may or may not need surgery. But they said better to have going to your joint!!! I have mild arthritis and osteoporosis. So I had surgery 8 days ago, I can move my fingers but pain getting worse or not getting better going up on my elbow and trochlea. I am worried about it? Could this give me complications?
Hi Aacturay Aactuary. So it is hard to say exactly why your pain is getting worse but if it is you should get reassessed. Good luck. Thanks for watching and subscribing if you did.
I’m 53 I have osteopenia I fell backwards and broke my wrist in cast for about 3 weeks will my wrist heal slowly and when I turn my wrist certain wAy still painful and I drive school bus will I be able drive again
Hi Cassandra. Sorry to hear about your fall and break. So usually osteopenic bones heal at about the same rate as other bones - normally 5-6 weeks for your wrist. Then the cast will come off. It will be stiff but then with physio it will get better. The ultimate range of motion will be determined by both the severity of the injury and how your recovery goes. Typically you would be able to drive again. Best of luck to you going forward. Thanks for watching, subscribing and sharing if you did.
@@TalkingWithDocs update wrist didn’t heal properly still have swelling and pain ortho doc sent me to hand specialist he said bone healed crooked I need surgery my question is should the ortho doc know I need surgery before she put cast on
@@cassandraw2861 I am in the exact same situation as you! Did you ever get an answer? Did you get surgery?
My ulna moves when i rotate my wrist, specifically if i try to do it while carrying something heavy. I have been out of the splint now. Is this ok?
Hi gray. Typically this is ok as long as it is not associated with pain. If you have ongoing pain, best to discuss with your treating physician. Thanks for watching.
@@TalkingWithDocs Thank you for responding. When the ulna moves a little, it does not hurt at all. I have to specify that it only happens when i am in a suphinated position and then if i try to pronate, Also it only happens when im sitting and do the motion with the forearm in a 90 degree angle. it kinda moves but only in the first part of pronation. I am very skinny plus there is severe muscle loss in my wrist which makes it even more skinny. Will building back the muscle help stabilize my wrist?
I severely fractured my wrist almost 6 months ago. A plate was put in, which was discovered to have come loose from the bone at my 18 day post op Xray. I had another surgery 2 weeks later to remove the plate. The surgeon was unable to wire my bones together, so he put in a temporary rod starting at my pointer finger joint and going halfway down my forearm. Consequent X-rays and exams show the fracture has not healed sufficiently to remove the rod. I am a physically active otherwise healthy 69 year old woman. What can I do? More info about Vitamin D injections please.
Hi Robin. Sorry to hear this. Sounds like you have an external fixator which holds the bones out to length while they heal. You still may require a plate. Definitely a good idea to talk to someone about osteoporosis medicarions and possibly the injection. It is on our list of future videos. Best of luck. Thanks for watching and subscribing
It may be common but it’s very scary and painful and takes a long time to heal. If you’re in your 60s, they don’t care if your wrist is very distorted for the rest of your life...They will just cast it and your wrist will be freakish for the remainder of your life and you will not be able to move your wrist back for the rest of your life. If you do not go the surgery route at first, you may have to re break it and go through surgery ( and more time off from work ) later because most orthos do a poor job of reduction.
Hi Kelly. Age should not specifically determine your treatment plan. Many fractures can be treated successfully without surgery but if it is very displaced it is often required. Yes it takes a long time to heal. Hang in there. Thanks for watching and subscribing if you did.
I disagree about the age thing. I had a distal radius fracture 3 years ago at age 74yrs and there was never any question about my treatment from my Ortho. In the ED it was X-rayed and splinted. I saw my Ortho 2 days later in his office. He said it needed surgery but allowed me to wait 2 1/2 weeks until my sister could come to my state as my husband had just passed away right after I broke my wrist Long story short, my wrist is neither freakish nor distorted,, it wasn’t scary, my pain through it all was managed by xl strength Tylenol, reduction was great. I had 6 weeks of PT. Kelly I’m sorry this is long but I didn’t like your generalization of Orthos.
I just had a minor break in the distal radius they had to put in place im 15 so should it heal fast so I can return to sports
Usually 4-6 weeks. Often sports will be ok. Good luck. Thanks for watching and subscribing if you did
my bone is way out of a e the bone on . y out wrist I had surgery on my radious it's been four months it makes a grinding noise and very fucked what do I do
Hi Katherian. May be time for a reassessment. Often after a fracture the appearance can be slightly abnormal as well as the sound. Any treatment would be based on pain and function. Good luck. Thanks for watching and subscribing
I have a broken wrist but it's not the one by the thumb it's the one on the other side by my pinky where the big bone is it's sticking out the side of my wrist and it hurts and I'm trying to get it fixed what kind of surgery would it be for that side of the bone the opposite from the one over by the thumb
Hi Allison. Your ulna is on the other side. It is long and skinny at the wrist. Often it is a small metal plate if it requires surgery. Best of luck. Thanks for watching and subscribing
@@TalkingWithDocs thank you for answering me so it is fixable because the bone sticking out the side so thank you
Am I supposed to exercise after just after having plaster (cast)
Hi Ansh. You can start slowly right after the cast is off. Just no falling! Thanks for watching and subscribing if you did.
@@TalkingWithDocs 😊😊 thanks Docs
Yes had surgery on my raduis.my fingers are hurting bad numbing when will that ok away or should I be worried
Hi Jay. Sometimes the nerves can be irritated by surgery causing numbness. Usually it will get better with time. Be sure to let your surgeon know. Good luck. Thanks for watching and subscribing if you did.
Thanks doc thank you
I think doctors rushed in to surgery without giving it time to heal I am a fit old 63 who
eats well no smoking drinking no medical conditions in car accident deformed radius .
I am not happy with recovery after surgery almost 8 weeks ago. Nothing feels right, I
have other fractures that are left alone hip and ribs. Site of insision very sore loss of
some feeling in palm pins needles swelling, I use ice and bath site in salt water.
Ice is best for pain as they do not let you home with much pain relief.
Thank you for video's they do help.
Sorry to hear this. Recovery from wrist fracture surgery is certainly difficult. Hang in there. Lots of ice. Lots of exercise. All the best
@@TalkingWithDocs God bless and thank you.
I broke my elbow and had screws put in. My hand has been swollen for over 3 months. Now I look at my wrist and there s a bone that looks out of place. The doctor told me that the swelling in my hand was residual. I think something is wrong.
Hi Sharron. It is difficult to give specific advice without examining you or your xrays. Residual swelling after surgery is very common. It will likely improve. If you have ongoing concern, you should be assessed by your treating surgeon or possibly a second opinion. Good luck.
I fell down the stairs backwards... I had distal radias fracture... and I DID trip over my dog... she ran up the stairs behind me and bumped into the back of my knee. It’s now plated and screwed. I’ve just started physio... but my wrist still scares me, and it hurts like crazy... my index fingertip feels hot all the time and ‘sparkly’.... will that feeling go away?
Hi Karen. So it is normal to be nervous after breaking your wrist. If the fracture has healed, your main goal now is to get your wrist moving. It would be very unlikely that you could do any damage by moving it. Pain is common and will typically dissipate. Sometimes the fingers can remain hot or tingly for quite some time. Usually it is temporary. Good luck with all of the hard work ahead.
In therapy when I try to twist my wrist, it feels ‘clicky’’ and pain shoots through my fingers... and also my outer edge of my wrist looks mishapen, even though the swelling is going down... it hurts that side (opposite side of my fracture)... it makes me feel like that side has somehow become dislocated... but my next Xray is not until mid October... it wont bend forwards yet, only towards the mishapen side. I’m worried it has somehow got dislocated. My wrist and fingers hurt like crazy each morning still and my middle fingers feel like they are bruised inside. What should I do?
I have a physio appt on thursday afternoon...
Hi Karen. If you have pain that you feel is not appropriate for your stage of healing, the best thing to do is always discuss this with your treating health care professional.
Hi. Did that clicky sensation eventually go away? Is everything back to normal now?
@@galambosigabriel653 Yes, finally. In the Winter I get a dull ache, but other than that, all is fine… it’s as best as it can be.
Interesting .. an MRI not mentioned and yet no treatment yet on my broken left wrist for the last 6 months. I’m 69 yrs old. I have strapped it and do manage to swim somewhat despite agony. Was suggested physio., how can that be on broken wrist? Agony.
A broken wrist typically does not require an MRI. Just X-rays. Unless you are concerned about a ligamentous injury. Best of luck. Thanks for watching and subscribing
@@TalkingWithDocs i am Maltese living in Malta and I have just mentioned you to a visiting family friend Jennifer Camilleri who lives in Canada 🇨🇦 and transpires she knows you and said that I need to rest assure what you suggest is correct. Small world 🌏
@@TalkingWithDocs hello docs, I didn't break my wrist but I have a lot going on in my right wrist. 3 tears, carpal tunnel, too much fluid in my wrist and bone marrow, and tons of swelling. Had both xray and mri done. I am due to have an ulnar shortening surgery, as mentioned in a previous video you made, I will have to have the hardware installed. However, I am a cook and concerned about having the hardware with repetitive motion involved. Your thoughts please and thank you!!!
Do you ever take the hardware out after broken wrist surgery?
Hi Kelly. So yes sometimes we do. The main reason to take it out would be if it was causing pain or restriction in motion. It is important to remember that some of your pain and stiffness may not be related to the hardware specifically. Always a good idea to discuss this with your surgeon. And usually it would not be for a year. We have a specific video about hardware removal. Thanks for watching and good luck
I don't have any pain or restriction and my bone is healed. It's been almost 11 months and my wrist feels just fine. The removal of hardware would be to prevent any sort of tendon rupture way down the road, but I can't seem to find any information on this being a common problem. Not sure it is worth the risk since I have zero problems.
Hi Kelly. This is uncommon. More common if your plate is dorsal (on the top of your wrist) rather than the volar aspect (palm side). Best to discuss with your surgeon for sure but we will often leave the hardware in place if asymptomatic. Good luck and keep us posted
@@TalkingWithDocs I talked to my surgeon and he says I don't have to take the hardware out, but that they suggest it in their practice for younger patients (I'm 43...). My incision is on the inside of my wrist, so I'm thinking the plate is attached palm side. I'm very confused as to why he is encouraging surgery when I'm not finding any evidence online that this is a common procedure now. The only chance of tendon rupture that I can find online is when the hardware is protruding and causing pain. [Not my issue here]
Hi Kelly. If you are unsure, once possible choice is a second opinion. Good luck and let us know
I hit my wrist on the couch there is swelling and bruising and pain but I don't know if it is broken sprang or fractured please help
Hi Christy. Ultimately the only way to be certain if your wrist is broken or not is to have someone examine it - and ideally order an xray. If the pain is significant you should get it looked at.
is glucosamine good after break? I've been taking daily with calcium.. just curious. I'm post op 4 days, so no follow up with my dr just yet
Hi Your Mom. There is no evidence to show that glucosamine would help bone healing. A balanced diet providing recommended doses of calcium and vitamin D is always beneficial. Hope that helps.
I broke both bones badly a closed Colles fracture i think its called. Both bones badly displaced with broken pieces at the end. ugh.
Oh man. Good luck with your recovery
Don't have the same thing over and over ....how about some ankle fusion guestions
Hi drhawthorne53. Thanks for your comments. We will add it to our list however ankle fusion is a very uncommon procedure and we quite frankly do not get any questions about it.
When does the pain go away when a cast is put on
Hi Lea. Often a couple of weeks but it will still remain uncomfortable. Best of luck to you. Thanks for watching and for subscribing if you did.
i tripped over a protective mat on the floor at work
What is the best surgery for broken wrist even if it's 4 months
It really depends on the position of the broken fragments. If they are out of position they will likely require a plate and screws. Thanks for watching and subscribing
I heard mine break, broke both radius and ulna.
Sucks Pam. Thanks for watching and subscribing
You didn't mention carpal tunnel after the fracture of the wrist...
Hi Jean. Yes carpal tunnel syndrome after a wrist fracture is a possibility. We assume that you may have suffered from this. Hopefully the symptoms have resolved. Thanks for your comment and for watching.
I’ve broken my arm beside my elbow 4 years ago falling off my bike.
Oh man Alida be careful. Training wheels? Thanks for watching and subscribing
@@TalkingWithDocs I was riding my bike 😂
Sir now my cast has removed.. It's a wrist fracture.. So now I am trying to all around to move my hand.. I feel so much pain.. Why. Doctor told me now your bone fracture healed.. How much it will take time like before... And my second question.. My fracture hand is thin as like before Why.. I am very scared.. Its will be fine or then 1 hand normal one hand thin 😓😫😭
Hi Aryan. Often after the cast is removed the hand and wrist will be very stiff. It will take a lot of physio and time. Some patients do not return to normal which is an unfortunate consequence of the injury itself. Hope that clarifies things. Thanks for watching, subscribing and sharing if you did.
@@TalkingWithDocs but sir its my wrist fracture with dislocation.. That's why. I am saying.. And my wrist bone point very thik now.... Right Now 40 days completed... Doctor told me come again.. nothing do only put only Ointment.. That's why I didn't go to stop him beacuas my bone was healed.. So it's will be fine automatically.. Or then need to go again
I'm soo scared..I'm a grown man of 48 and I honestly just want to cry! Sorry to be this dramatic..I fell and broke my wrist 6 weeks ago today.. A distal radius fracture nondislocated at the base of the ulnar styloid mildly comminuted..whatever that all means! When you don't have insurance they don't take the time to show you the xrays they just say you broke it and they have this convo in the waiting room with no privacy!! yep so much for HIPPA lol..Anyway..They put me in a sugar tong splint and said to see an ortho in 3 days..No Ins so I asked would this probably heal like this in 4-6 weeks they said yes but try to get an xray at the 6 week mark to make sure it did heal...it was non dislocated and I think I would have had a moment of pain if it somehow became dislocated during this time?? So here I am and I un wrapped the smelly splint and took out the dirty padding my arm looked icky, my lower arm was as flabby as a 92 year old lady..I'm being punished for always jiggling my mom's arm fat I guess! So when I try to turn my arm sideways like a karate chop position it hurts and felt odd..almost like bones were moving inside my arm but not painful moving..just feels off.. I know I need an xray asap to make sure it's safe to start movement.. is it normal to feel wonky once the splint/cast comes off? I'm very scared...
Hi Arizona. So yes this is common. Yes need an X-ray. Then lots of exercises for sure. Best of luck. Thanks for watching and subscribing
Azar abtahi
Hi Azar. Thanks for watching.
Fractured my unla bone 😂
Hi Orla. Hope you are OK!
But I broke my pinkey toe
Hi Aidan. Sorry to hear that. Be safe. Thanks for watching.
wow, this video is from 3 years ago, but great advice, my question to you is i just had surgery for my distal radius , and from the pictures of the post op surgery , one of the screws goes all the way through the bone a bit..is that normal? or should of it been flush,like the other pictures i am seeing?, 7 days after my surgery and seems to be healing ok, just a little tinglingling, and my arm falls asleep sometimes, go back in 7 days to get my sutures out.
Hi Tracy. See the response to your question above but the short answer is that if the screw goes a little though the far cortex it is usually not a significant issue. Thanks for watching.