Fractured Wrist

Broken Wrist

Each wrist fracture (broken wrist) needs specific rehabilitation based on injury type and fracture stability. Unstable fractures will almost always require surgical stabilisation. Stable fractures will be treated with a protective and supportive splint and monitored for appropriate fracture healing. If they show signs of instability, then your surgeon may consider operative stabilisation.

It is crucial only to perform the exercises prescribed by your Orthopaedic Surgeon or Physiotherapist. You should also wear your wrist splint/cast at all times unless advised otherwise by your physiotherapist or surgeon.

Common Wrist Fractures

• Fractured Radius
• Fractured Ulna
• Colles Fracture (# Radius + # Ulna)
• Fractured Carpals:
  • Scaphoid Fracture (most common)
  • Lunate Fracture / Kienbock Disease
  • Capitate Fracture
  • Trapezium Fracture
  • Trapezoid Fracture
  • Triquetrum Fracture
  • Hamate Fracture
  • Pisiform Fracture

Beware of CRPS (Chronic Regional Pain Syndrome)

Hand Swelling, Pain or Pins & Needles

It is extremely important to prevent hand and finger swelling post-fracture. Near permanent elevation (high arm sling) and regular finger and upper arm movement while protecting the fracture is the key. CRPS is a very significant and painful complication that can complicate your rehabilitation. Carpal tunnel syndrome may present as pins and needles to your hand. Please report any increase in swelling, pins and needles, or pain to your physiotherapist or doctor ASAP.

Post-Fracture Exercises

Post-fracture exercises are specific to your fracture and should be performed after assessment and guidance from your healthcare professional. Based on that, it is imperative only to perform the exercises prescribed by your Orthopaedic Surgeon or Physiotherapist. You should also wear your wrist splint/cast at all times unless advised otherwise by your physiotherapist or surgeon.

Do your exercises frequently throughout the day. Multiple sessions of short duration are generally better than longer sessions done only once or twice.