Any fracture with an intra-articular step of the radiocarpal joint >2mm is also advised to be surgically corrected. Significantly displaced or unstable fractures can require surgical intervention, as they have a risk of displacing further over time if not stabilised. Once sufficient bone healing has occurred, patients should be rehabilitated via physiotherapy to ensure the regaining of full function. ![]() ![]() Stable and successfully reduced fractures can typically be placed in a below-elbow backslab cast, then radiographs repeated after 1 week to check for displacement. This can be performed under conscious sedation with a haematoma block or Bier’s block.įollowing reduction, the arm should be restricted to allow for bone healing. Various techniques can be employed, however all involve ensuring sufficient traction and manipulation under anaesthetic. Once stabilised, all displaced fractures require closed reduction in the emergency department. *Ask for an ‘okay’ sign, if the DIPJ of the 2 nd digit and IPJ of thumb extend, this signifies AIN nerve involvementĪs for any trauma case (beyond the scope of this article), suitable resuscitate and stabilisation of the patient is the priority.
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