If the ankle is in a neutral position, usually total involvement of the articular surface is seen with a Y-type separation of anterior and posterior fragments frequently with central joint impaction ( Fig. The opposite situation occurs when the foot is dorsiflexed causing the talar dome to impact on the anterior part of the distal tibial articular surface. With plantarflexion of the foot, most forces are directed to the dorsal (posterior) part of the articular surface and lead to the formation of a relatively large posterior fragment. The severity of the articular injury depends on the amount of energy applied and the position of foot at the time of impact. On the other hand, higher energy axial compression forces lead to intra-articular fractures of the distal tibia when the convex talar dome impacts the concave plafond of the distal tibia. These are usually closed, resulting from low energy and the associated soft-tissue injuries are not usually severe. Rotational forces (torsion) usually lead to a spiral fracture which may be intra- or extra-articular. Ideally you can take the right steps to avoid major sports injuries that keep you out of the game.Mechanisms of injury, epidemiology and concomitant injuriesĭistal tibial fractures are usually caused by two possible types of forces: rotational and/or axial loads. The last thing you want to do is overwork yourself and re-injure your wrist or have it heal improperly. Rest, Ice, Compression and Elevation will help minimize swelling and other complications before you receive treatment from a medical professional.īe patient as you recover from your fractured distal radius and listen to your doctor and your body.
method should be implemented immediately. With any injury, especially one that produces swelling, the R.I.C.E. The recovery process for a broken distal radius starts right away. 6-12 months – Regain motion, strength and function in the broken wrist.3-4 months – You can start to resume normal activities with the injured wrist at your discretion.4-6 weeks – The bone will typically be healed.Recovery periods for a distal radius can vary but will typically breakdown like this: These devices will help protect the fractured wrist and keep patients from overusing the hand and experiencing setbacks to recovery. Open (compound) fracture – The fracture forced the broken bone through the skin.ĭepending on the type of fracture you have, your doctor will utilize a combination of splints, casts, pins, screws and plates to realign, immobilize and stabilize the broken wrist.Comminuted – The fractured bone splits into more than two pieces.Unstable fracture – The fracture is more complex and the bones fall out of alignment.Stable fracture – When the bone breaks and stays within the proper alignment.Extra-articular – The fracture does not extend into the wrist joint.Intra-articular – The break extends into the wrist joint.Diagnosing Different Distal Radius Fractures This is why it is so crucial to receive treatment for broken wrists right away and that process starts with diagnosing the type of fracture that you have sustained.
If broken bones go untreated or improperly treated, it can lead to Malunion (improper healing of broken bones) or Nonunion (incomplete healing). The goal of wrist fracture treatments is to stabilize the wrist and promote natural healing, while avoiding complications. If you feel a burning pain and cannot comfortably move your wrist after a fall or hit, go to your local Palmetto sports medicine specialist or orthopedic surgeon to have your broken wrist treated immediately. Distal radius fractures will also result in a bent/limp wrist.
This pain will persist and the site of the fracture will bruise and become very tender. Whether your wrist was smashed between or you stuck your arm down to break your fall, you’ll feel and hear a popping sound.įollowing this pop, you will start to feel a burning pain and see redness and swelling around the wrist and forearm.
Closed fracture of distal end of right fibula full#
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