From the Guidelines
The treatment for a chauffeur's fracture typically involves surgery, but simple immobilization is appropriate when fracture fragments are small, nonarticular, or minimally displaced. This approach is based on the diagnosis and treatment guidelines outlined by the American College of Foot and Ankle Surgeons, as reported in the American Family Physician journal 1. The diagnosis of a chauffeur's fracture is primarily based on a history of trauma and focal pain on palpation, which is then confirmed with radiographic studies.
Key considerations in the treatment of a chauffeur's fracture include:
- The size and displacement of the fracture fragments
- The articular involvement of the fracture
- The overall stability of the joint
- The presence of any comminution or fragmentation of the bone
In general, the management of a chauffeur's fracture aims to achieve proper alignment and stability of the bone fragments, promote healing, and restore function to the affected area. This can often be achieved through immobilization, but in more complex cases, surgical intervention may be necessary to ensure optimal outcomes in terms of morbidity, mortality, and quality of life.
From the Research
Treatment for Chauffeur's Fracture
- A chauffeur's fracture is a type of fracture that occurs at the distal end of the radius bone in the forearm, typically resulting from a fall onto an outstretched hand or a direct blow to the wrist 2.
- The treatment for a chauffeur's fracture usually involves immobilization using a cast or splint to allow the bone to heal properly 3, 2.
- In some cases, surgical intervention may be necessary to stabilize the fracture and promote healing, such as percutaneous pinning or open reduction and internal fixation 4, 5.
- The goal of treatment is to restore normal wrist function and prevent complications such as nonunion or malunion of the fracture 6, 2.
Immobilization and Rehabilitation
- Immobilization is typically recommended for a period of 4-6 weeks to allow the fracture to heal 3, 2.
- After immobilization, rehabilitation exercises can be started to regain wrist motion and strength 5.
- Early mobilization after volar plate fixation of a fracture of the distal part of the radius has been shown to be effective in improving wrist motion and function 5.
Complications and Prevention
- Complications of chauffeur's fracture can include nonunion, malunion, and wrist instability 6, 2.
- Proper treatment and immobilization can help prevent these complications and promote optimal healing 3, 4, 2.
- It is essential to seek medical attention promptly if a chauffeur's fracture is suspected to ensure proper diagnosis and treatment 2.