Fracture of the Distal Radius & Ulna

What is a fracture of the distal radius and ulna?

A fracture of the distal radius and ulna refers to a break in the forearm bones near the wrist. Physiotherapy plays a vital role in the recovery process following such a fracture.

How does a fracture of the distal radius and ulna happen?

It is most commonly caused by a fall onto an outstretched hand, which places excessive force through the wrist and forearm, leading to a break in one or both of the bones.

What are the symptoms of a fracture of the distal radius and ulna?

The first sensation typically felt when the distal radius and ulna are fractured is immediate and intense pain just above the wrist joint. A visible bump or deformity may be noticeable on the back of the wrist due to displacement of the broken bones. Other symptoms may include:

  • Swelling around the wrist and forearm
  • Bruising or discoloration of the skin
  • Tenderness to touch
  • Difficulty or inability to move the wrist or fingers
  • A grinding or clicking sensation with movement
  • Numbness or tingling in the hand or fingers (if nerves are affected)

What should I do if I have a fracture of my distal radius and ulna?

A fracture of the distal radius and ulna is a serious injury that requires immediate medical attention at an accident and emergency department. To help relieve pain and control swelling, you should apply ice to the wrist as soon as possible. Ideally, use crushed ice wrapped in a moist towel or cloth and apply it to the area for up to 20 minutes.

Physiotherapy for a fractured distal radius and ulna.

At the accident and emergency department, doctors will assess the injury and determine the extent of the damage—usually with the help of an X-ray. This allows them to estimate how long healing may take and decide on the appropriate treatment. Treatment may involve applying an arm cast with a sling or, in more severe cases, surgery to realign the bones. When a cast is used, the immobilised joints often become stiff, and the muscles weaken. Although strength and range of motion may return with everyday use, recovery is typically slow and may not be complete. This can make simple tasks, like turning a doorknob, challenging.

Physiotherapy can help restore joint range of motion and muscle strength following a fracture of the distal radius and ulna. It also reduces the risk of re-injury when you return to exercise or daily activities. Physiotherapy treatment options may include:

  • Joint mobilisation to improve flexibility and reduce stiffness
  • Strengthening exercises to rebuild muscle function
  • Stretching routines to restore full range of motion
  • Manual therapy for soft tissue release and scar management
  • Electrotherapy to promote healing and reduce pain
  • Functional training to help with everyday tasks like gripping, lifting, and turning objects

What shouldn’t I do if I have a fracture of my distal radius and ulna?

If you have, or suspect you have, fractured your distal radius and ulna, it is essential that you avoid using the injured arm until it has been properly assessed by a doctor. You should also avoid activities that may increase blood flow to the area, as this can lead to increased bleeding and swelling around the fracture site, potentially delaying your recovery.

Could there be any long-term effects from a fractured distal radius and ulna?

Most fractures of the distal radius and ulna heal without complications within a matter of weeks. However, recovery time can vary depending on the severity of the injury. In some cases, additional damage may occur to nearby structures such as the cartilage lining the wrist joint, nerves, blood vessels, ligaments, and tendons. Injury to any of these surrounding tissues can delay healing and may lead to longer-term effects.

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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