Wrist Injuries/Fractures
The wrist joint is made up of the ends of the two forearm bones (radius, larger and ulna, smaller) and the 8 smaller bones of the wrist (called carpal bones). Wrist sprains and wrist fractures are amongst the commonest injuries treated. A wrist sprain implies a stretch and injury to the ligaments that stabilize the ends of the radius and ulna to those that interconnect the carpal bones. A wrist fracture most commonly involves the radius bone. Occasionally a fracture may occur of one or more of the smaller carpal bones, the most common being the scaphoid (at the base of the thumb). The vast majority of wrist injuries and fractures are incurred by falling on an outstretched hand, which brings the wrist up into a severely extended posture. Symptoms of a wrist injury are characterized as immediate onset of sharp pain and swelling. The patient may notice a prominence or deformity over wrist directly under the skin. The diagnosis of a wrist injury can be made with physical examination by a physician and usually confirmed with an XR. Sometimes an MRI may be required for more subtle injuries.
Recommendations:
- Consult a physician if you think you sustained a wrist sprain or fracture
- Acute treatment starts with reduction of inflammation - RICE regimen (Rest, Ice, Compression, and Elevation).
- Stretch before, during, and after an activity, to allow for more joint pliability.
- Wrist guards for injury prevention