The wrist joint is comprised of a multitude of different bones. There are small bones including the scaphoid and hamate, as well as large bones including the distal portions of the radius and ulna which contribute to the wrist joint. Fractures (commonly referred to as breaks) often occur within the distal radius and distal tip of the ulna. Other fracture locations more commonly seen include the scaphoid, triquetrum, and hamate which are smaller wrist bones.
Non-operative treatment options for wrist fractures include immobilization (splinting/casting) with or without manipulation of the bone fragments. Operative treatment options include open reduction and internal fixation and external fixation techniques. The decision regarding nonoperative versus operative treatment is complex and should be discussed with your treating physician. Outcomes after surgery vary and risks and benefits should be discussed in detail with your treating physician. Non-operative treatment also carries risks and benefits which should be discussed with your treating physician. Individuals who are older and/or sustain broken bones from low energy injuries (i.e. ground level falls) may have an underlying condition called osteoporosis. Osteoporosis involves a condition where bones have decreased mineral density. This creates an increased risk for sustaining a fracture. Treatment options include appropriate dietary vitamin intake and at the direction of a physician more specialized medications. Evaluation and management should be discussed with your treating physician.
Disclaimer: This information is not intended to covey, substitute or supplant any medical advice. In order to establish a treating relationship, please schedule and complete your visits with a licensed physician. Copyright 12/9/2021 Tanay Amin, MD
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