From the Guidelines
Symptoms of a wrist fracture typically include pain, swelling, tenderness, bruising, visible deformity, and limited range of motion in the affected wrist, and it is crucial to seek medical attention promptly for proper diagnosis and treatment to prevent long-term complications. According to the most recent and highest quality study 1, radiography is always indicated as the initial imaging for suspected acute hand and wrist trauma. The symptoms of a wrist fracture can vary depending on the severity and location of the fracture, with some fractures causing obvious deformity and others showing only subtle changes.
- Pain that worsens with movement is a common symptom, and it can be severe and intensify when gripping objects or moving the wrist.
- Swelling and tenderness in the area around the fracture often develop within minutes to hours after the injury.
- Bruising may develop within a day or two, and numbness or tingling in the fingers can occur if the fracture affects nearby nerves.
- Wrist instability or a grinding sensation (crepitus) when moving the joint may also be present, and some fractures, such as scaphoid fractures, may cause only mild symptoms that can be mistaken for a sprain. As stated in 1, when radiographs are normal or equivocal and a patient has persistent symptoms with an unclear diagnosis, MRI without IV contrast is usually appropriate. It is essential to note that proper diagnosis through X-rays or other imaging is crucial for appropriate treatment and to prevent long-term complications like chronic pain, arthritis, or impaired wrist function.
From the Research
Symptoms of Wrist Fractures
- The symptoms and experiences of patients with wrist fractures can vary widely, with significant changes to social role and increased dependence during recovery 2.
- Patients may experience challenges in pain management, education, and support requirements, which can lead to dissatisfaction if not addressed by health professionals 2.
- The use of a cast can be a barrier to function for many patients, although some may feel that it is removed too soon, particularly those immobilized for a shorter period of one week 2.
- The evaluation of wrist fractures and dislocations typically involves conventional radiographic examinations and physical examination results to pinpoint potential sites of bone or ligament disruption 3.
- Imaging studies can play a crucial role in directing treatment and improving outcomes, with the onus on the examining surgeon to interpret the results and develop an appropriate treatment plan 3.