Radial Fracture
Description
Fractures of the distal radius are common in older women because of the incidence of osteoporosis as well as the risk of falling. They are usually caused by falling or maybe even overuse. Radial fractures occur when there is a displacement of the radius from the forearm resulting in a wrist fracture.
There are 5 different types of fractures:
There are 5 different types of fractures:
- Type 1- These are bending fractures and are common. Example: Colles & Smith fractures
- Type 2- These are shearing fractures. Example: Barton fractures
- Type 3- These are compression fractures.
- Type 4- These are radiocarpal fracture-dislocations
- Type 5- These are a combination of the other types that may involve the forearm
Signs & Symptoms
- Pain, swelling, and tenderness of wrist
- Loss of wrist motion
Diagnostic Test
- Radiographs such as CT's can be used to find fractures
PT Implications
Rehab Phase:
Acute (0-6 weeks)
Subacute (6-8 weeks)
Chronic (8-12 weeks)
Acute (0-6 weeks)
- This phase is important on limiting the swelling, stiffness, and pain. Make sure to educate patient to elevate the arm above the level of the heart and to wrap the fingers and hands with tape, or apply a compression garment to the hand and wrist
- Patient can start active and passive range of motion of the digits to restore mobility and reduce swelling
- Initiate gentle assisted active range of motion (AAROM) of the forearm into supination since this can be difficult to regain after the fracure
- Shoulder and elbow exercises to avoid secondary problems
Subacute (6-8 weeks)
- Active assisted forearm and wrist exercises should be performed
- Continue with the same exercises from acute stage
Chronic (8-12 weeks)
- Strengthening exercises can be initiated
- Continue with active assisted exercises from subacute stage