Treatment of the orthopedic trauma injuries is a highly specialized field that deals with a broad set of conditions and symptoms. Using the latest diagnostic and treatment techniques, Dr. Balaguer can successfully treat your upper extremity injury.
Diagnosis usually only requires a standard wrist x-rays series. A CT scan is used to evaluate complex intra-articular fractures. Soft tissue injuries should be evaluated with an MRI.
There are many treatment options for a distal radius fracture. Successful outcomes correlate with restoration of anatomy as well as early range of motion of wrist and fingers.
All fractures characterized by minor comminution, with or without minimal displacements can be considered for closed reduction and cast immobilization. The patient will remain under close observation until fracture heals.
- Closed reduction and percutaneous pinning
-- simple fractures not involving the joint
- Unstable, displaced, intra-articular fractures
- Restore normal anatomy
- Start range of motion therapy right away
Most people return to all their former activities after a distal radius fracture. Extensive occupational therapy is recommended for most patients.
Patients with fractures of the shaft of the ulna and radius present following trauma with pain and swelling in the forearm, at times with gross deformity. Loss of forearm and hand function may also occur.
Radiographic imaging is important in diagnosis, treatment and follow-up assessment of these fractures. CT may be useful and can give significant information in comparison with that obtained with conventional radiography.
Non-operative treatment may consist of the following:
- Functional fx brace with good interosseous mold
- Isolated nondisplaced or distal 2/3 ulna shaft fractures
-- < 50% displacement
-- < 10° of angulation
Displaced and unstable ulnar fractures and all radius fractures should be treated operatively:
- Displaced ⅔ distal ulnar shaft
- All proximal ⅓ fractures
Depending on the complexity of the fracture and the stability of the repair, a cast or brace may be necessary for 2 to 6 weeks after surgery.