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Treatments and drugs
By Mayo Clinic staff
If the broken ends of the bone aren't aligned properly, your doctor will need to manipulate the pieces back into their proper positions — a process called fracture reduction. Depending on the amount of pain and swelling you have, you may need a muscle relaxant, a sedative or even a general anesthetic before this procedure.
Immobilization
Restricting the movement of a broken bone in your wrist or hand is critical to proper healing. To do this, you may need a splint or a cast.
Medications
To reduce pain and inflammation, your doctor may recommend an over-the-counter pain reliever, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others). If you're experiencing severe pain, you may need an opioid medication, such as codeine.
Therapy
After your cast or splint is removed, you'll likely need rehabilitation exercises or physical therapy to reduce stiffness and restore movement in your wrist and hand. Rehabilitation can help, but it may take up to several months — or even longer — for complete healing of severe injuries.
Surgical and other procedures
Immobilization heals most broken bones. However, you may need surgery to implant internal fixation devices, such as plates, rods or screws, to maintain proper position of your bones during healing. These internal fixation devices may be necessary if you have the following injuries:
- Multiple fractures
- An unstable or displaced fracture
- Loose bone fragments that could enter a joint
- Damage to the surrounding ligaments
- Fractures that extend into a joint
- A fracture that is the result of a crushing accident
In some cases, the surgeon may immobilize your fracture by using an external fixation device. This consists of a metal frame with two or more pins that go through your skin and into the bone on either side of the fracture.
- Petron DJ, et al. Distal radius fractures in adults. http://www.uptodate.com/home/index.html. Accessed April 21, 2009.
- Fracture of the finger. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00257. Accessed April 21, 2009.
- Anderson BC. Evaluation of the adult patient with wrist pain. http://www.uptodate.com/home/index.html. Accessed April 21, 2009.
- Woolfrey KG, et al. Orthopedic lesions: Wrist and forearm. In: Marx JA, et al. Rosen's Emergency Medicine: Concepts and clinical practice. 6th ed. Philadelphia, Pa.: Mosby Elsevier; 2006. http://www.mdconsult.com/das/book/body/132876839-5/832233957/1365/124.html#4-u1.0-B0-323-02845-4..50053-6--cesec18_1919. Accessed April 21, 2009.
- Lyn E, et al. Orthopedic lesions: Hand. In: Marx JA, et al. Rosen's Emergency Medicine: Concepts and clinical practice. 6th ed. Philadelphia, Pa.: Mosby Elsevier; 2006. http://www.mdconsult.com/das/book/body/132876839-5/0/1365/121.html?tocnode=51891270&fromURL=121.html#4-u1.0-B0-323-02845-4..50052-4_1733. Accessed April 23, 2009.
- Hand fractures. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00010. Accessed April 23, 2009.
- Bone X-ray (radiography). Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?pg=bonerad. Accessed April 23, 2009.
- CT: Body. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?pg=bodyct. Accessed April 23, 2009.
- MRI of the musculoskeletal system. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=muscmr. Accessed May 12, 2009.
- General nuclear medicine. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=gennuclear. Accessed April 23, 2009.
- Wrist fractures. American Society for Surgery of the Hand. http://www.assh.org/Public/HandConditions/Pages/WristFractures.aspx. Accessed April 23, 2009.
- Lewiecki EM. Prevention of osteoporosis. http://www.uptodate.com/home/index.html. Accessed April 23, 2009.
- Ski and snowboard injuries. American Society for Surgery of the Hand. http://www.assh.org/Public/HandConditions/Pages/SkiandSnowboardInjuries.aspx. Accessed April 23, 2009.
