Radius Fracture: Therapy

General therapeutic measures

  • Reduction in dislocated fractures.
  • Supportive dressing (plaster, softcast) for:
    • Stable extra-articular (“located outside the joint capsule of a joint”) fractures.
    • Non-displaced or low-displaced (displaced) intraarticular (“located within the joint capsule of a joint”) fractures
    • General or local contraindications (contraindications) to surgery.
  • Note: Early mobilization after conservatively treated distal radius fractures resulted in a higher number of treatment failures as well as more severe radial angle deformities than in the control group.

Medical aids

  • Wrist orthosis for effective immobilization of the wrist (for follow-up treatment after surgically treated distal radius fracture).

Behavioral instruction after treatment

  • Present to physician immediately if pain and/or sensory disturbances persist/become noticeable
  • Use of hand during light daily activities
  • Independently perform range-of-motion exercises (finger joints, elbow, shoulder joint) at an early age
  • Avoid measures that increase swelling, e.g., do not let the arm hang down; rest the arm on a pillow at night
  • Shoulder not immobilize by an arm sling!

General postoperative therapeutic measures

  • Elevate arm
  • Control of blood flow, motor function, sensitivity.
  • Pain therapy
  • Thrombosis prophylaxis