Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
 DISTAL RADIUS FRACTURES


WHAT YOU SHOULD KNOW

 The main supportive bone for the wrist is called the radius. It is one of the most commonly fractured bones in the entire body, usually by falling while reaching out with the hand. Sometimes the break is only into 2 simple pieces, but usually it is into many pieces. A very important distinction is fractures that split the cartilage of the joint surface that may lead to early arthritis. Often wrist ligament injuries accompany distal radius fractures. Sometimes the median nerve at the carpal tunnel is compressed by fracture swelling. Serious loss of function results when these injuries do not heal in the anatomically correct position.

MEDICAL HISTORY

Patients report injuries as simple as tripping on the curb to falling 2 stories off a building. Pain, swelling, stiffness, and sometimes numbness are the typical symptoms.

EXAMINATION

The doctor will check that nearby tendons and nerves are working correctly. Any examination that can be done for stability will be confined to what the patient tolerates with reasonable comfort.

ADDITIONAL TESTS

Plain x-rays give all the needed information regarding the fracture. They do not tell the whole story about potential ligament injury. Only direct examination of the ligaments under stress while viewing with the arthroscope can accomplish an accurate evaluation of ligament injury.

TREATMENT OPTIONS

  NON-OPERATIVE SURGICAL STABILIZATION
CONSISTS OF Splinting then casting Fix joint surface like jigsaw puzzle, support in correct position with titanium device, repair any damaged ligaments
FEATURES Stays on 5-6 weeks Minimally invasive fiber optic camera to do work in the joint. Open incision to place plate and screws to support bone, possible nerve decompression, removable splint
ADVANTAGES Avoids surgery Stable fixation allows early motion and assurance that all injuries have been treated
DISADVANTAGES Cannot prevent an unstable fracture from shifting out of place Invasive procedure

 

RECOVERY

After surgery therapy begins the next week to initiate motion rehabilitation. The fracture itself will cause significant stiffness. The sooner and better the rehabilitation, the better the final function. Pins that are left through the skin in the forearm bones to prevent rotating the forearm will be removed in 4 weeks. Pins buried under the skin to support wrist ligament damage will be removed under a local anesthetic at around 8 weeks following surgery. The main plate and screws do not need to ever be removed. A lightweight removable splint is fashioned by the therapist. The patient must be diligent about doing hourly motion exercises to regain the best function possible. Bone healing is usually complete in 8-10 weeks after surgery. Further gains in motion and strength will occur up to a year.
 
 
 
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  • Love the Doctor and his staff. - 02/08/17
  • Staff is always friendly and helpful. I will definitely recommend this office. Dr. Henry is a very skilled surgeon and went out of his way to make sure I understood my procedure and the rehabilitation process. - 03/24/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • every thing was really great - 10/19/17
  • The entire team at the Hand and Wrist Center is outstanding. They made the recovery so smooth and comforting from the courteous receptionists, excellent occupational therapist, attentive medical assistants, and brilliant doctor. Thank you! - 03/31/17
  • thank you - 02/09/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • thank you for all you have done! I recommend you foranyone that is having any problems via hand wrist. Amazing surgon and doctor!!! - 02/01/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • thank you, you all were very helpful - 03/03/17
  • Awesome experience. Luis rocks! - 04/06/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • excellent! dr & staff! - 06/14/17
  • an experience beyond expectation - 10/06/17
  • great job! - 03/20/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • very helpful staff - 01/16/17
  • Great staff and speedy process! - 04/14/17
  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Great staff, Great Doctor, Great surgery, recovery, and follow up. Thank you for the time and attention with helping me through the entire process. I felt very comfortable and safe with the entire process. - 02/10/17
  • :) - 06/01/17
  • Thank you for the hard work and excellent care. If ever I need this type of care again I will be knocking on your door. I've already recommended your services to others. Thanks Again! - 03/07/17
  • very impressed with the whole experience. - 02/28/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • always outstanding service! - 04/12/17
  • Great Appoitnment - 05/11/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • thank you for helping me - 02/03/17
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • Very efficient practice - 10/19/17
  • The doctor was very informative and provided me with a solution quickly and I really appreciate that in this day and age. This is an awesome institution. - 03/02/17
  • all excellent care - 07/12/17
  • Luis was great as well. - 01/04/17
  • Very professional - 03/30/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • Great staff. - 05/02/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • very good at explaining how I should take care of my thumbs and always answered any question I had regarding my health issue I was very pleased with my visit and the care I got at both visits - 03/07/17
  • The staffs here was GREAT!!!! - 06/21/17
  • Very knowledgeable about the possible procedures the could be preformed! Dr. Henry is a very honest person and I appreciate that in a man more than anything. He gave me truth and not what I wanted to hear! Thanks - 04/04/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • :) - 05/11/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • Thank you! - 03/08/17
  • joel was also my assistant but everything was great - 03/07/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Great work. - 02/03/17
  • some of the most friendly staff and the doctor always explained the information in a manner in which I could understand which always made it very helpful. will definitely recommend this location to family and friends. - 05/31/17
  • very good team work, best clinic - 06/21/17
  • thank you - 10/16/17
  • Had a wonderful experience overall. Breaking my arm was tough but the staff here was always very, kind and helpful. Especially Dr. Henry, Mary, Karen, Luis, Joel, Teresa and David. I'll miss them all but hopeful won't have to see them any time soon :)Thank you! - 05/04/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • best place for treatment of hand and wrist problems. Dr. Henry was recommended to me by a friend who is a medical care professional. - 10/06/17
  • Great Appoitnment - 05/11/17
  • We have had the best experience here. The staff has always accommodated us and since Tyler is only 10, they always go out of their way to make sure we are comfortable. I have and will continue to recommend Dr. Henry and his staff to anyone I know. Thanks! - 02/28/17










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