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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  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • 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
  • The visit was good - 09/27/18
  • very good team work, best clinic - 06/21/17
  • thank you - 10/16/17
  • Dr. Henry was great, explained my situation and options to me very well and recommended the best option for me. I appreciated his understanding of my situation and feelings, and offering the best solution for me, very much - 12/14/18
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • 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
  • Great experience on every visit. Doctor Henry's work is fantastic and his explanations are thorough. I recommend him highly whenever the opportunity presents. - 09/26/18
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • every body was excelent - 01/09/18
  • I appreciated everyone being friendly and professional and quick and competent at what they do. Dr Henry is straightforward and clear with no extra b/s and I was quite pleased with that. - 09/20/18
  • excellent! dr & staff! - 06/14/17
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • 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 brought me peace of mind about my ganglion cyst recovery, and made the entire process of getting the cyst removed easy and manageable. - 1/11/19
  • 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
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • an experience beyond expectation - 10/06/17
  • everyone was very helpful. - 10/02/18
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • 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
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • 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
  • Visit was pleasant and went smoothly. No complaints. Outstanding service. - 09/14/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • This was the best choice I have ever made to have my hard repaired. Doctor Henry and his staff did an outstanding job of giving me the use of my hand back! - 12/12/18
  • all excellent care - 07/12/17
  • 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
  • Awesome staff. - 09/25/18
  • no complaints hand is coming along very well - 11/06/17
  • 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
  • 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
  • Great service and attention to patient needs. Staff was very attentive. - 09/17/18
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • 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
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • 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
  • The staffs here was GREAT!!!! - 06/21/17
  • David, Luis and the staff were so helpful and answered all my questions. Highly recommend the facility for any hand surgeries. - 09/27/18
  • I was so impressed that Dr. Henry took so much time with me, explaining the whole process of my injury, what should have happened, and what we can do going forward. Thank you! - 09/28/18
  • Great doctor and good staff - 10/10/18
  • Fantastic. Very helpful and considerate staff and manner. Very much appreciated. Fully recommend in for the future. Thanks, Andrew - 09/19/18
  • Very efficient practice - 10/19/17
  • :) - 06/01/17
  • Outstanding service and results - 10/30/17
  • Awesome facility. Fast results. Thoroughly explained causes of pain, diagnosis and treatment. Staff wonderful. Facility is amazing - 10/10/18
  • great doctor - 05/23/18
  • Thank you all very much, Everyone was kind and helpful. Dr. Henry did excellent in always explaining the process of the care as well as the injury itself. - 12/14/18
  • Dr.henry knew his stuff. he was friendly but straight to the point. - 09/11/18
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • 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
  • Thank you to all. Great Job! - 1/9/19
  • every thing was really great - 10/19/17
  • you were very good, thank you very much - 05/17/18










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