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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  • very helpful staff - 01/16/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • excellent! dr & staff! - 06/14/17
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • thank you - 10/16/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • 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
  • no complaints hand is coming along very well - 11/06/17
  • 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
  • Great staff. - 05/02/17
  • an experience beyond expectation - 10/06/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Love the Doctor and his staff. - 02/08/17
  • 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
  • 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
  • Very professional - 03/30/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • thank you for helping me - 02/03/17
  • 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
  • Awesome experience. Luis rocks! - 04/06/17
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • very impressed with the whole experience. - 02/28/17
  • 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
  • always outstanding service! - 04/12/17
  • 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
  • thank you, you all were very helpful - 03/03/17
  • Very efficient practice - 10/19/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Outstanding service and results - 10/30/17
  • 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! - 03/08/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • :) - 06/01/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • great job! - 03/20/17
  • 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
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • 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
  • joel was also my assistant but everything was great - 03/07/17
  • :) - 05/11/17
  • 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
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • 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
  • 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
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Great staff and speedy process! - 04/14/17
  • 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
  • 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
  • Great Appoitnment - 05/11/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • every thing was really great - 10/19/17
  • The staffs here was GREAT!!!! - 06/21/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • Great work. - 02/03/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • 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
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • Luis was great as well. - 01/04/17
  • very good team work, best clinic - 06/21/17
  • 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
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • all excellent care - 07/12/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • thank you - 02/09/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17










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