{"id":5493,"date":"2025-07-01T09:00:00","date_gmt":"2025-07-01T09:00:00","guid":{"rendered":"https:\/\/www.orthogate.org\/press\/uncategorized\/distal-radius-fracture-management\/"},"modified":"2025-07-01T13:21:19","modified_gmt":"2025-07-01T13:21:19","slug":"distal-radius-fracture-management","status":"publish","type":"post","link":"https:\/\/www.orthogate.org\/press\/deep-research\/hand-upper-extremity-restoring-function-and-dexterity\/distal-radius-fracture-management\/","title":{"rendered":"Distal radius fracture management"},"content":{"rendered":"<h1 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Distal Radius Fracture Management<\/b> <\/span><\/span><\/h1>\n\n<p class=\"wp-block-paragraph\"><\/p>\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Distal radius fractures are prevalent orthopedic injuries, often resulting from falls onto an outstretched hand. They affect individuals of all ages, with a higher incidence in children and older adults<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>1<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Effective management of these fractures is crucial for restoring wrist function and minimizing long-term complications. This article provides a comprehensive overview of distal radius fracture management, encompassing non-operative and surgical treatment options, criteria for treatment selection, and potential complications.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Non-Operative Treatment<\/b> <\/span><\/span><\/h2>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Non-operative treatment is typically the preferred approach for stable, minimally displaced fractures<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. The primary goal is to immobilize the fracture to allow for natural healing<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>3<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Common non-operative methods include:<\/span><\/p>\n<ol class=\"wp-block-list\">\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Casting:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">A cast provides rigid support and immobilization to the wrist. It is typically used for fractures that are in a good position and unlikely to displace further<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. The cast is usually worn for up to six weeks<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Cast treatment is recommended for undisplaced or minimally displaced extra-articular fractures, displaced extra-articular fractures that remain stable after closed reduction, and unstable fractures in some low-demand patients (when some degree of malunion may be tolerated)<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>3<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Splinting:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Splints offer less rigid immobilization than casts and are often used initially to allow for swelling to subside<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. They may be used for the first few days before transitioning to a cast<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>4<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Closed Reduction:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">If the bones are misaligned but stable, the doctor may manually reposition them before applying a cast or splint<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>5<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. This procedure, known as closed reduction, is usually performed under local anesthesia<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>1<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<\/ol>\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">When employing non-operative treatment with casting or splinting, it&#8217;s essential to avoid extreme wrist positions during immobilization<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>6<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Functional bracing may be considered as an alternative to casting in some cases<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>6<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/p>\n<h3 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Criteria for Choosing Non-Operative Treatment<\/b> <\/span><\/span><\/h3>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Several factors influence the decision to pursue non-operative treatment:<\/span><\/p>\n<ol class=\"wp-block-list\">\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Fracture Displacement:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Minimal or no displacement of the broken bones<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Fracture Stability:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">The fracture is stable and unlikely to shift out of place<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Patient Factors:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Age, activity level, and overall health of the patient<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>1<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Surgeon Preference:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">The experience and expertise of the surgeon with non-operative techniques<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>1<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Example Rehabilitation Program for Non-Operative Treatment<\/b> <\/span><\/span><\/h3>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">One example of a rehabilitation program for non-operative treatment of a distal radius fracture involves three phases:<\/span> <span style=\"color:rgb(87, 91, 95)\"><sup>7<\/sup><\/span><\/p>\n<ol class=\"wp-block-list\">\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Phase 1 (Week 0-6):<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">This phase focuses on pain management, edema control, and early mobilization of the fingers and elbow. Patients may use a sling as needed for comfort and elevate the affected limb to reduce swelling. Exercises include finger and elbow range of motion, rhomboid and periscapular isometrics, and pendulum hangs<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>7<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Phase 2 (Week 6-12):<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">A removable wrist brace is worn as needed during this phase. Patients progress to active and active-assisted range of motion exercises for the fingers, wrist, forearm, and elbow. Gradual strengthening exercises with putty and isometrics are introduced. Desensitization techniques, mirror therapy, and dexterity exercises may be incorporated as needed<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>7<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Phase 3 (Week 12-16):<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">This phase emphasizes a return to normal activities as tolerated. Patients may engage in an independent home exercise program, return to sports, or participate in work hardening programs<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>7<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Rehabilitation for Non-Operative Treatment<\/b> <\/span><\/span><\/h3>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">After the cast is removed (or if a cast is not used), patients typically begin a rehabilitation program to regain wrist function and strength<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. A removable wrist brace may be worn for support<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>7<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Rehabilitation exercises progress from gentle range of motion to strengthening and functional activities<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>7<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Even during the immobilization phase, various rehabilitation interventions can be helpful:<\/span> <span style=\"color:rgb(87, 91, 95)\"><sup>8<\/sup><\/span><\/p>\n<ol class=\"wp-block-list\">\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Advice and Instructions:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Patient education on managing pain, avoiding stiffness, and exercising uninvolved joints.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Cross-education:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Strength training of the non-injured hand to improve function in the injured hand.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Dynamic Wrist Splint:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">A splint that provides a continuous low-load stretch while allowing hand movement.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Ice:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Ice or cold therapy to reduce pain and swelling.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Joint Mobilization:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Active and passive range of motion exercises to maintain joint mobility.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Soft Tissue Compression:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Compression techniques to reduce swelling.<\/span><\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Surgical Treatment<\/b> <\/span><\/span><\/h2>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Surgical treatment is often necessary for unstable or complex distal radius fractures that cannot be adequately managed with non-operative methods<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. The goal of surgery is to restore anatomical alignment and provide stable fixation for optimal healing. Open fractures, where the bone is exposed, require immediate surgery and thorough cleaning to prevent infection<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>9<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. CT scans may be used to evaluate complex fractures and guide surgical planning<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>10<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Common surgical techniques include:<\/span><\/p>\n<ol class=\"wp-block-list\">\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Internal Fixation:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">This involves using plates, screws, or pins to hold the bone fragments in place<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>5<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Plates and screws are typically placed on the volar (palm-side) aspect of the wrist<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>11<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>External Fixation:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">An external fixator is a stabilizing frame that is attached to the bone with pins that extend outside the skin<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>9<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. It is often used for severe fractures or when the soft tissues around the fracture are damaged<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>4<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<\/ol>\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Studies suggest that surgical treatment may result in better DASH scores (a measure of upper extremity function), grip strength, and range of motion compared to non-surgical treatment<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>12<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. However, it&#8217;s important to note that a delay in surgery greater than two weeks may be associated with less favorable patient-reported outcomes<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>13<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/p>\n<h3 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Criteria for Choosing Surgical Treatment<\/b> <\/span><\/span><\/h3>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">The decision to pursue surgical treatment is based on several factors:<\/span><\/p>\n<ol class=\"wp-block-list\">\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Fracture Displacement:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Significant displacement of the broken bones<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Fracture Instability:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">The fracture is unstable and likely to displace further<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Joint Involvement:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Intra-articular fractures, where the fracture extends into the wrist joint, often require surgery<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Associated Injuries:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Fractures with associated injuries to the ulna, median nerve, or surrounding soft tissues<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Patient Factors:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Age, activity level, occupation, and expectations for recovery<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Dominant Hand Involvement:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Fractures of the dominant hand may be more likely to require surgery to ensure optimal hand function<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Comminution:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Fractures with multiple bone fragments (comminuted fractures) may be more challenging to treat non-operatively<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>2<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Criteria for Choosing Between Non-Operative and Surgical Treatment<\/b> <\/span><\/span><\/h3>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Choosing between non-operative and surgical treatment involves careful consideration of various factors, including those listed above. A natural experiment comparing operative and non-operative treatment in patients over 65 with distal radius fractures found that treatment choice is often influenced by surgeon or hospital preference<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>14<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Interestingly, many patients prefer non-operative treatment even when informed that surgery might result in a better outcome<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>15<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/p>\n<h3 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Types of Surgical Fixation<\/b> <\/span><\/span><\/h3>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Surgical fixation for distal radius fractures aims to stabilize the broken bones and allow for healing in the correct position. Various techniques and implants are available:<\/span><\/p>\n<ol class=\"wp-block-list\">\n<li>\n<p><span style=\"color:rgb(27, 28, 29)\"> <b>Plating:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Volar locking plates are a common method for stabilizing distal radius fractures<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>16<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. These plates are designed to fit the anatomy of the distal radius and are secured with locking screws<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>17<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. They provide stable fixation, allowing for early wrist mobilization<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>16<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. However, there is a risk of tendon irritation with palmar plates, which may necessitate plate removal in some cases<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>18<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"color:rgb(27, 28, 29)\"> <b>Other Techniques:<\/b> <\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"color:rgb(27, 28, 29)\"> <b>Percutaneous pinning:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">This technique involves inserting wires through the skin to hold the bone fragments together<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>19<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/p>\n<ol>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>External fixation:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">An external fixator is used for complex or highly comminuted fractures<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>19<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Fragment-specific fixation:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">This method utilizes small plates and screws to stabilize individual bone fragments<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>19<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">In addition to these techniques, different types of internal fixation devices exist, including intramedullary nails, fragment-specific plates, fixed-angle plates, locked plates, and bioabsorbable implants<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>20<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. The choice of surgical technique and implant depends on the specific fracture pattern and the surgeon&#8217;s preference.<\/span><\/p>\n<h3 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Example Rehabilitation Program for Surgical Treatment<\/b> <\/span><\/span><\/h3>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Rehabilitation after surgical treatment of a distal radius fracture often follows a structured program, such as this three-phase example:<\/span> <span style=\"color:rgb(87, 91, 95)\"><sup>21<\/sup><\/span><\/p>\n<ol class=\"wp-block-list\">\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Phase I (Day 1-10):<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">This immediate post-surgical phase focuses on early range of motion of the digits, elbow, and shoulder, as well as edema management. Patients are typically non-weight bearing and avoid lifting, pushing, pulling, or forceful gripping<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>21<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Phase II (Day 11-Week 5):<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">This protection phase emphasizes increasing range of motion in the wrist and forearm. Light functional use of the extremity with a splint is initiated. Patients gradually wean from the splint and begin grip strengthening exercises<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>21<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Phase III (Week 6-12):<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">This intermediate phase focuses on regaining full range of motion and functional strength. Patients begin gentle weight bearing and progress to more demanding activities<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>21<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Rehabilitation for Surgical Treatment<\/b> <\/span><\/span><\/h3>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Rehabilitation after surgery often begins sooner than with non-operative treatment<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>22<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Early mobilization is encouraged to prevent stiffness<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>22<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Patients may start with gentle range of motion exercises for the fingers, wrist, and forearm while the wrist is still immobilized in a splint<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>22<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. As healing progresses, strengthening and functional exercises are added<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>23<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Potential Complications<\/b> <\/span><\/span><\/h2>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Both non-operative and surgical treatments for distal radius fractures can have potential complications. Some complications are common to both approaches:<\/span><\/p>\n<h3 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Complex Regional Pain Syndrome (CRPS)<\/b> <\/span><\/span><\/h3>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that can develop after a distal radius fracture, regardless of the treatment method<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>24<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. It is characterized by pain, swelling, changes in skin color and temperature, and impaired function<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>24<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. While the exact cause of CRPS is unknown, potential contributing factors include nerve injury, abnormal inflammatory responses, and psychological factors<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>24<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Early diagnosis and treatment are essential for improving outcomes.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Long-Term Outcomes<\/b> <\/span><\/span><\/h2>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">The long-term outcomes of distal radius fractures are generally favorable, with most patients achieving good functional recovery<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>25<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. Studies have shown that functional outcomes are often restored to population norms a decade after a distal radius fracture, regardless of radiological outcomes<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>26<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">. However, some factors can influence long-term outcomes:<\/span><\/p>\n<ol class=\"wp-block-list\">\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Fracture Severity:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">More severe fractures may have a longer recovery time and a higher risk of complications<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>27<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Treatment Type:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Patients with fractures that can be treated non-operatively tend to have better long-term wrist function than those who require surgery<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>25<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Rehabilitation:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Adherence to a rehabilitation program is crucial for maximizing functional recovery<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>28<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<li><span style=\"color:rgb(27, 28, 29)\"> <b>Patient Factors:<\/b> <\/span> <span style=\"color:rgb(27, 28, 29)\">Age, overall health, and individual healing capacity can affect long-term outcomes<\/span><span style=\"color:rgb(87, 91, 95)\"><sup>27<\/sup><\/span><span style=\"color:rgb(27, 28, 29)\">.<\/span><\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Synthesis<\/b> <\/span><\/span><\/h2>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Distal radius fractures are common injuries that require a comprehensive and individualized approach to management. Treatment decisions should be made based on a thorough evaluation of the fracture, patient factors, and surgeon expertise. Non-operative treatment with casting or splinting is often preferred for stable, minimally displaced fractures. Surgical treatment, using techniques such as internal fixation with volar locking plates or external fixation, is necessary for unstable or complex fractures. Regardless of the treatment approach, rehabilitation is crucial for restoring wrist function, strength, and range of motion. Long-term outcomes are generally good, with most patients achieving satisfactory recovery. However, potential complications such as malunion, stiffness, and complex regional pain syndrome should be considered and addressed appropriately.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><span id=\"undefined\"><span style=\"color:rgb(27, 28, 29)\"> <b>Conclusion<\/b> <\/span><\/span><\/h2>\n\n<p class=\"wp-block-paragraph\"><span style=\"color:rgb(27, 28, 29)\">Distal radius fractures are common injuries that require careful evaluation and management. Treatment decisions are based on a variety of factors, including fracture characteristics, patient factors, and surgeon preference. Both non-operative and surgical treatment options can be effective in restoring wrist function and minimizing complications. Rehabilitation plays a vital role in optimizing long-term outcomes. By understanding the various aspects of distal radius fracture management, healthcare professionals can provide comprehensive care and help patients achieve the best possible recovery.<\/span><\/p>\n<h4 class=\"wp-block-heading\"><span id=\"undefined\"> <b>Works cited<\/b><\/span><\/h4>\n\n<p class=\"wp-block-paragraph\">1. Nonsurgical Options for Treating a Distal Radius Fracture &#8211; Sports-health, accessed February 17, 2025,  <a href=\"https:\/\/www.sports-health.com\/sports-injuries\/hand-and-wrist-injuries\/nonsurgical-options-treating-distal-radius-fracture\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.sports-health.com\/sports-injuries\/hand-and-wrist-injuries\/nonsurgical-options-treating-distal-radius-fracture<\/a><\/p>\n<p class=\"wp-block-paragraph\">2. Distal Radius Fracture (Wrist Fracture) | Johns Hopkins Medicine, accessed February 17, 2025,  <a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/distal-radius-fracture-wrist-fracture\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/distal-radius-fracture-wrist-fracture<\/a><\/p>\n<p class=\"wp-block-paragraph\">3. Nonoperative treatment &#8211; Cast for Extraarticular fracture of the radius with dorsal displacement or tilt &#8211; AO Surgery Reference, accessed February 17, 2025,  <a href=\"https:\/\/surgeryreference.aofoundation.org\/orthopedic-trauma\/adult-trauma\/distal-forearm\/extraarticular-fracture-of-the-radius-with-dorsal-displacement-or-tilt\/nonoperative-treatment-cast\" target=\"_blank\" rel=\"nofollow\">https:\/\/surgeryreference.aofoundation.org\/orthopedic-trauma\/adult-trauma\/distal-forearm\/extraarticular-fracture-of-the-radius-with-dorsal-displacement-or-tilt\/nonoperative-treatment-cast<\/a><\/p>\n<p class=\"wp-block-paragraph\">4. Distal Radius Fractures (Broken Wrist) &#8211; OrthoInfo &#8211; AAOS, accessed February 17, 2025,  <a href=\"https:\/\/orthoinfo.aaos.org\/en\/diseases--conditions\/distal-radius-fractures-broken-wrist\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/orthoinfo.aaos.org\/en\/diseases&#8211;conditions\/distal-radius-fractures-broken-wrist\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">5. Distal Radius Fracture Treatment | Midwest Orthopedics at Rush, accessed February 17, 2025,  <a href=\"https:\/\/www.rushortho.com\/specialties-services\/hand-wrist\/distal-radius-fracture-treatment\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.rushortho.com\/specialties-services\/hand-wrist\/distal-radius-fracture-treatment\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">6. Adult Distal Radius Frx: Non Operative Treatment &#8211; Wheeless&#8217; Textbook of Orthopaedics, accessed February 17, 2025,  <a href=\"https:\/\/www.wheelessonline.com\/joints\/adult-distal-radius-frx-non-operative-treatment\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.wheelessonline.com\/joints\/adult-distal-radius-frx-non-operative-treatment\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">7. Distal Radius Fracture \u2013 Non-op &#8211; Dr Chad Myeroff, accessed February 17, 2025,  <a href=\"https:\/\/www.twincitiesshoulderandelbow.com\/dr-myeroff-sheets\/dr-myeroffs-distal-radius-fracture-non-op.pdf\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.twincitiesshoulderandelbow.com\/dr-myeroff-sheets\/dr-myeroffs-distal-radius-fracture-non-op.pdf<\/a><\/p>\n<p class=\"wp-block-paragraph\">8. Rehabilitation for distal radial fractures in adults &#8211; PMC &#8211; PubMed Central, accessed February 17, 2025,  <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9250132\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9250132\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">9. Distal Radius Fracture Types &amp; Repair | MedStar Health, accessed February 17, 2025,  <a href=\"https:\/\/www.medstarhealth.org\/services\/distal-radius-fracture-repair\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.medstarhealth.org\/services\/distal-radius-fracture-repair<\/a><\/p>\n<p class=\"wp-block-paragraph\">10. Distal Radius Fracture &#8211; Reno Orthopedic Center, accessed February 17, 2025,  <a href=\"https:\/\/www.renoortho.com\/specialties\/center-for-fracture-trauma\/distal-radius-fracture\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.renoortho.com\/specialties\/center-for-fracture-trauma\/distal-radius-fracture\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">11. www.hopkinsmedicine.org, accessed February 17, 2025,  <a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/distal-radius-fracture-wrist-fracture#:~:text=Surgery%20for%20Distal%20Radius%20Fractures&amp;text=Surgery%20is%20typically%20performed%20through,or%20more%20plates%20and%20screws.\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/distal-radius-fracture-wrist-fracture#:~:text=Surgery%20for%20Distal%20Radius%20Fractures&amp;text=Surgery%20is%20typically%20performed%20through,or%20more%20plates%20and%20screws.<\/a><\/p>\n<p class=\"wp-block-paragraph\">12. Non-surgical vs. surgical treatment of distal radius fractures: a meta-analysis of randomized controlled trials &#8211; PMC, accessed February 17, 2025,  <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11234633\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11234633\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">13. Effect of Time-To-Surgery on Distal Radius Fracture Outcomes: A Systematic Review, accessed February 17, 2025,  <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36890081\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/pubmed.ncbi.nlm.nih.gov\/36890081\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">14. Let&#8217;s Agree to Disagree on Operative Versus Nonoperative Treatment for Distal Radius Fractures in Older People: Protocol for a Prospective International Multicenter Cohort Study, accessed February 17, 2025,  <a href=\"https:\/\/www.researchprotocols.org\/2024\/1\/e52917\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.researchprotocols.org\/2024\/1\/e52917\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">15. Distal Radius Fracture: What Does the Patient Want? &#8211; Scientific Research Publishing, accessed February 17, 2025,  <a href=\"https:\/\/www.scirp.org\/journal\/paperinformation?paperid=117873\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.scirp.org\/journal\/paperinformation?paperid=117873<\/a><\/p>\n<p class=\"wp-block-paragraph\">16. Volar Locking Plate Fixation of Distal Radius Fractures: A Surgical Technique &#8211; SurgiColl, accessed February 17, 2025,  <a href=\"https:\/\/surgicoll.scholasticahq.com\/article\/117052-volar-locking-plate-fixation-of-distal-radius-fractures-a-surgical-technique\" target=\"_blank\" rel=\"nofollow\">https:\/\/surgicoll.scholasticahq.com\/article\/117052-volar-locking-plate-fixation-of-distal-radius-fractures-a-surgical-technique<\/a><\/p>\n<p class=\"wp-block-paragraph\">17. Titanium Wrist Plating System &#8211; Arthrex, accessed February 17, 2025,  <a href=\"https:\/\/www.arthrex.com\/hand-wrist\/arthrex-titanium-wrist-plating-system\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.arthrex.com\/hand-wrist\/arthrex-titanium-wrist-plating-system<\/a><\/p>\n<p class=\"wp-block-paragraph\">18. ORIF &#8211; Palmar plate for Partial articular fracture of the radius, involving the volar rim, accessed February 17, 2025,  <a href=\"https:\/\/surgeryreference.aofoundation.org\/orthopedic-trauma\/adult-trauma\/distal-forearm\/partial-articular-fracture-of-the-radius-involving-the-volar-rim\/orif-palmar-plate\" target=\"_blank\" rel=\"nofollow\">https:\/\/surgeryreference.aofoundation.org\/orthopedic-trauma\/adult-trauma\/distal-forearm\/partial-articular-fracture-of-the-radius-involving-the-volar-rim\/orif-palmar-plate<\/a><\/p>\n<p class=\"wp-block-paragraph\">19. Distal Radius Fractures Treatment &amp; Management &#8211; Medscape Reference, accessed February 17, 2025,  <a href=\"https:\/\/emedicine.medscape.com\/article\/1245884-treatment\" target=\"_blank\" rel=\"nofollow\">https:\/\/emedicine.medscape.com\/article\/1245884-treatment<\/a><\/p>\n<p class=\"wp-block-paragraph\">20. Internal fixation for treating distal radius fractures in adults &#8211; PMC &#8211; PubMed Central, accessed February 17, 2025,  <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6483690\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6483690\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">21. Department of Rehabilitation Services Hand Therapy Guidelines &#8211; Distal Radius Fracture\/Post Operative &#8211; Brigham and Women&#8217;s Hospital, accessed February 17, 2025,  <a href=\"https:\/\/www.brighamandwomens.org\/assets\/BWH\/patients-and-families\/rehabilitation-services\/pdfs\/distal-radius-fracture-postop-hand-therapy-guideline.pdf\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.brighamandwomens.org\/assets\/BWH\/patients-and-families\/rehabilitation-services\/pdfs\/distal-radius-fracture-postop-hand-therapy-guideline.pdf<\/a><\/p>\n<p class=\"wp-block-paragraph\">22. Distal Radius Fracture Outcomes and Rehabilitation &#8211; PMC, accessed February 17, 2025,  <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5098688\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5098688\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">23. Recovering from a Distal Radius Fracture | Sports-health, accessed February 17, 2025,  <a href=\"https:\/\/www.sports-health.com\/sports-injuries\/hand-and-wrist-injuries\/recovering-distal-radius-fracture\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.sports-health.com\/sports-injuries\/hand-and-wrist-injuries\/recovering-distal-radius-fracture<\/a><\/p>\n<p class=\"wp-block-paragraph\">24. Management of Complications of Distal Radius Fractures &#8211; PMC, accessed February 17, 2025,  <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4417479\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4417479\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">25. Patient-reported outcomes after a distal radius fracture in adults: a 3\u20134 years follow-up, accessed February 17, 2025,  <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6461106\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6461106\/<\/a><\/p>\n<p class=\"wp-block-paragraph\">26. Functional outcomes are restored a decade after a distal radius fracture: a prospective long-term follow, accessed February 17, 2025,  <a href=\"https:\/\/umu.diva-portal.org\/smash\/get\/diva2:1795708\/FULLTEXT01.pdf\" target=\"_blank\" rel=\"nofollow\">https:\/\/umu.diva-portal.org\/smash\/get\/diva2:1795708\/FULLTEXT01.pdf<\/a><\/p>\n<p class=\"wp-block-paragraph\">27. Long-term complications after distal radius fractures. &#8211; ResearchGate, accessed February 17, 2025,  <a href=\"https:\/\/www.researchgate.net\/figure\/Long-term-complications-after-distal-radius-fractures_tbl2_352879952\" target=\"_blank\" rel=\"nofollow\">https:\/\/www.researchgate.net\/figure\/Long-term-complications-after-distal-radius-fractures_tbl2_352879952<\/a><\/p>\n<p class=\"wp-block-paragraph\">28. Distal Radius Fracture: Essential Recovery Guide &#8211; The Jackson Clinics, accessed February 17, 2025,  <a href=\"https:\/\/thejacksonclinics.com\/arm-yourself-after-a-distal-radius-fracture\/\" target=\"_blank\" rel=\"nofollow\">https:\/\/thejacksonclinics.com\/arm-yourself-after-a-distal-radius-fracture\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Distal Radius Fracture Management Distal radius fractures are prevalent orthopedic injuries, often resulting from falls onto an outstretched hand. They affect individuals of all ages, with a higher incidence in children and older adults1. Effective management of these fractures is crucial for restoring wrist function and minimizing long-term complications. This article provides a comprehensive overview [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5492,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[531],"tags":[843,613,841,516,522,815,495,844,680,842],"class_list":["post-5493","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hand-upper-extremity-restoring-function-and-dexterity","tag-casting","tag-complications","tag-distal-radius-fractures","tag-external-fixation","tag-internal-fixation","tag-non-operative-treatment","tag-rehabilitation","tag-splinting","tag-surgical-treatment","tag-wrist-function"],"_links":{"self":[{"href":"https:\/\/www.orthogate.org\/press\/wp-json\/wp\/v2\/posts\/5493","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.orthogate.org\/press\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.orthogate.org\/press\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.orthogate.org\/press\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.orthogate.org\/press\/wp-json\/wp\/v2\/comments?post=5493"}],"version-history":[{"count":0,"href":"https:\/\/www.orthogate.org\/press\/wp-json\/wp\/v2\/posts\/5493\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.orthogate.org\/press\/wp-json\/wp\/v2\/media\/5492"}],"wp:attachment":[{"href":"https:\/\/www.orthogate.org\/press\/wp-json\/wp\/v2\/media?parent=5493"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.orthogate.org\/press\/wp-json\/wp\/v2\/categories?post=5493"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.orthogate.org\/press\/wp-json\/wp\/v2\/tags?post=5493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}