BROKEN WRIST (FRACTURES)

There are two main types of fractures – open and closed.

An open fracture is when the broken bone comes out through your skin causing an open wound. This is a very severe fracture and surgery is required to reposition the bones and close the wound.

A closed fracture is when your bone is broken but it does not come out through your skin.

This is the most common of the two. Closed fractures are usually treated non-surgically.

• Compound Fracture – The broken bone pierces the skin of the arm causing an open wound, this is a serious condition that needs immediate treatment to put the bone back into place and to decrease the risk of infection.

Within the closed fracture category, there is a variety of different fractures. 

• Closed Fracture – The skin surrounding the break is not broken.
• Displaced Fracture – The bone fragments on each side of the break and isn’t aligned. Surgery is usually required to realign these fragments.
• Comminuted Fracture – The bone is broken into pieces, and may require surgery.
• Greenstick Fracture – The bone cracks but doesn’t break all the way. 
• Buckle (Torus) Fracture – One side of the bone is compressed, which causes the other side to bend (or buckle).  Most common in children.

The bones in your arm can break in several ways. They can crack slightly or can break into many pieces.

• Overuse – Repetitive motions can tire your arm muscles and place excessive force on the underlying bone (stress fractures in athletes)
• Trauma – A car accident, slip & fall, or sports injury (examples)
• Osteoporosis Arthritis – This medical condition weakens your bonesand makes them more prone to fractures

Dr. Pournaras will examine your arm for tenderness, swelling, deformity or open wounds. After discussing your symptoms and how the injury occured, X-rays will be done to determine the location and extent of the break. With severe fractures another scans, such as an MRI, might be used to get more detailed images.

Each type of fracture will cause slightly different symptoms and will require slightly different treatment. Dr. Pournaras will examine you and the results of X rays (imaging tests) to determine which kind of fracture you have and what the best course of treatment is.

Broken arm treatments depend on the type of break that occurs. Healing time often depends on a variety of factors, that include severity of the fracture.

Some fractures require surgery, and others can heal with non-surgical treatments. 

Setting The Bone

If you are diagnosed with a closed fracture, Dr. Pournaras may need to move the pieces of the break back into position. If you are in alot of pain and have swelling in your arm, you may be given a muscle relaxant, sedative or even a general anesthetic before the procedure.

Casting

Restricting movement of a broken bone, can require a splint, sling, brace or cast, and it is critical to your healing. Patients usually wear a splint until their swelling goes down, then a cast will be applied. You may need to return to our office for X-rays while your arm is casted to make sure the bones haven’t shifted.

 Surgical Options 

• Arthroscopic Surgery: Specific to joints, arthroscopy uses cameras and smaller incisions to monitor and assist setting the fracture.
• External Fixators: are metal devices used to hold the affected bones in place until another stabilizer like a cast or a brace can be used.
• Plates and Screws: Can be permanent, are surgical plates and screws to hold fracture fragments in the correct alignment long enough for the fracture to heal.