● Non-Displaced Fracture: - ANSWER fracture where the periosteum
remains intact
○ Initiation of AROM depends on injury & client but typically begins
between third to sixth weeks after immobilization
○ By 8-10 weeks after injury, most clients can begin progressive resistive
exercises and leisure or homemaking tasks using the involved extremity
Displaced fracture - ANSWER ○ Physician required to use reduction:
normally realign bone fragments
● Soft tissue injuries commonly associated with wrist fractures: -
ANSWER ○ Triangular Fibrocartilage Complex (TFCC)
○ Peripheral nerve injuries
○ Ligament sprain/tear
○ Aggravation of pre-existing osteoarthritis
Distal forearm fracture - ANSWER ○ Non-displaced Extra-articular
Fracture:
■ Requires least amount of intervention
■ Ulnar styloid fracture often falls under this category
○ Minimally displaced Intra-articular Fracture
■ Occur when fractured bone segments shifts and crosses into joint
space
■ Results in greater soft tissue damage
■ Requires some type of reduction
■ Chauffeur's fracture falls under this category
○ Comminuted extra-articular fracture
■ High-energy injury
■ Bone breaks in multiple segments
, ■ Unstable
Colles fracture - ANSWER most common
--complete fracture of the distal radius with dorsal displacement of the
distal fragment and radius shortening
--usually extra-articular, minimially displaced, and stable
smith's fracture - ANSWER complete fracture of distal radius with volar
displacement of distal fragement
second most common
frequently unstable and requires internal fixation
nonunion - ANSWER fracture did not heal despite adequate time and
immobilization
malunion - ANSWER Fracture healed with greater than 10 degrees of
dorsal angulation of the distal radius, rather than its normal volar
angulation
AVN - ANSWER
Articular incongruity ● AVN (death of all of part of bone)--> common in
wrist where blood supply to carpal bones is tenuous. - ANSWER
scaphoid nonunion advanced collapse - ANSWER ● Scaphoid non-
union advanced collapse (SNAC) wrist: joint surfaces no longer making
proper contact at their respective articulations. Results in wearing down
articular cartilage and development of arthritis
reduction - ANSWER ● Reduction: displaced fractures require physician
manipulation in order to restore proper alignment
Secondary healing: - ANSWER stable fracture will heal itself via the
process of inflammation, repair, and remodeling
○ Typically requires approx. 7 to 8 weeks
remains intact
○ Initiation of AROM depends on injury & client but typically begins
between third to sixth weeks after immobilization
○ By 8-10 weeks after injury, most clients can begin progressive resistive
exercises and leisure or homemaking tasks using the involved extremity
Displaced fracture - ANSWER ○ Physician required to use reduction:
normally realign bone fragments
● Soft tissue injuries commonly associated with wrist fractures: -
ANSWER ○ Triangular Fibrocartilage Complex (TFCC)
○ Peripheral nerve injuries
○ Ligament sprain/tear
○ Aggravation of pre-existing osteoarthritis
Distal forearm fracture - ANSWER ○ Non-displaced Extra-articular
Fracture:
■ Requires least amount of intervention
■ Ulnar styloid fracture often falls under this category
○ Minimally displaced Intra-articular Fracture
■ Occur when fractured bone segments shifts and crosses into joint
space
■ Results in greater soft tissue damage
■ Requires some type of reduction
■ Chauffeur's fracture falls under this category
○ Comminuted extra-articular fracture
■ High-energy injury
■ Bone breaks in multiple segments
, ■ Unstable
Colles fracture - ANSWER most common
--complete fracture of the distal radius with dorsal displacement of the
distal fragment and radius shortening
--usually extra-articular, minimially displaced, and stable
smith's fracture - ANSWER complete fracture of distal radius with volar
displacement of distal fragement
second most common
frequently unstable and requires internal fixation
nonunion - ANSWER fracture did not heal despite adequate time and
immobilization
malunion - ANSWER Fracture healed with greater than 10 degrees of
dorsal angulation of the distal radius, rather than its normal volar
angulation
AVN - ANSWER
Articular incongruity ● AVN (death of all of part of bone)--> common in
wrist where blood supply to carpal bones is tenuous. - ANSWER
scaphoid nonunion advanced collapse - ANSWER ● Scaphoid non-
union advanced collapse (SNAC) wrist: joint surfaces no longer making
proper contact at their respective articulations. Results in wearing down
articular cartilage and development of arthritis
reduction - ANSWER ● Reduction: displaced fractures require physician
manipulation in order to restore proper alignment
Secondary healing: - ANSWER stable fracture will heal itself via the
process of inflammation, repair, and remodeling
○ Typically requires approx. 7 to 8 weeks
