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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  • no complaints hand is coming along very well - 11/06/17
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • The staffs here was GREAT!!!! - 06/21/17
  • The staff and the Dr. are very helpful and understanding .I have not yet seen a better staff like this office . I will recommend any one here . - 11/06/17
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • an experience beyond expectation - 10/06/17
  • thank you - 10/16/17
  • every thing was really great - 10/19/17
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • all excellent care - 07/12/17
  • 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
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • Outstanding service and results - 10/30/17
  • great doctor - 05/23/18
  • excellent! dr & staff! - 06/14/17
  • you were very good, thank you very much - 05/17/18
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • :) - 06/01/17
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • every body was excelent - 01/09/18
  • 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
  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • very good team work, best clinic - 06/21/17
  • 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
  • Very efficient practice - 10/19/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Dr. Henry and his staff are phenomenal. Dr. Henry has a gift for not only treating health issues extremely effectively, but he is extremely thorough and very efficient at communication and explaining everything he is doing and all of clearly outlining your options for future procedures. - 05/11/18
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • Dr. Henry was able to salvage my hand to make it usable again. I have already sent my Father here and he no longer has any pain in his wrist. - 11/13/17










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