The Step-By-Step Guide to Managing a Distal Radius Fracture
Published: Nov 16, 2023
Managing a distal radius fracture can be straightforward with the right approach. Discover the essential steps from initial assessment to treatment and recovery.
Contents
Initial Assessment and Diagnosis
When a wrist injury occurs, proper evaluation is critical. The clinician should assess for swelling, deformity, and potential open fractures. Diagnostic imaging, particularly X-rays, is used to confirm the fracture and identify its type. This initial assessment guides the treatment plan moving forward.
Emergency Management Steps
In cases of severe fractures, immediate action is crucial. Emergency orthopedic referral is needed for open fractures or those causing nerve or blood vessel issues. Quick reduction, often with pain relief, may be necessary to restore alignment and alleviate symptoms.

Stabilizing the Fracture
Stabilizing the fracture is often achieved using a splint. For stable fractures, a sugar tong splint is usually applied with the arm in a neutral position. This provides support while allowing some movement, aiding in the healing process. Follow-up care is essential to monitor healing and prevent complications.
Frequently Asked Questions
X-rays are typically used to confirm and assess fractures.
It's a quick transfer to an orthopedic specialist for severe cases.
A splint stabilizes the fracture while allowing some movement for healing.
Immediate reduction and alignment are needed to restore proper position.
The Bottom Line
Timely and proper management of distal radius fractures is key to successful recovery.
References
- Gutow AP. Avoidance and treatment of complications of distal radius fractures. Hand Clin 2005; 21:295.
- Chamley J. The Closed Treatment of Common Fractures, Williams & Wilkins, Baltimore 1961.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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