Greenstick fractures, which have cortical disruption, are also common in children. Incomplete compression fractures without cortical disruption, called buckle (torus) fractures, are common in children. If initial imaging findings are negative and suspicion of fracture remains, splinting and repeat radiography in seven to 14 days should be performed. Evaluation with radiography or ultrasonography usually can confirm the diagnosis. A fall onto an outstretched hand is the most common mechanism of injury for fractures of the radius and ulna. A physiotherapist can help with these problems, although sometimes they can last several months or more.Fractures of the radius and ulna are the most common fractures of the upper extremity, with distal fractures occurring more often than proximal fractures. Your arm or wrist may be stiff and weak after the cast is removed. They will probably suggest gradually increasing how much you use your arm and hand over a few weeks or months. Speak to your doctor about when you can return to work and normal activities. get medical advice if you notice changes in your skin colour, unusual sensations in your arm or wrist, signs of infection (redness, swelling or smelly discharge), severe or continuous pain, or problems with your cast (it's too loose, too tight or cracked).do some gentle exercises and stretches to reduce stiffness – your doctor or a physiotherapist will advise you about this see an NHS leaflet on getting your hand moving after a wrist fracture (PDF, 170kb) for examples of exercises to try.keep the cast dry and keep your arm raised (for example, on pillows) whenever possible – read more about how to care for a plaster cast.avoid putting weight or strain on the arm – don't stop moving it completely, but avoid activities such as carrying anything heavy, driving and sports.This usually takes a month or two, but can take longer if the break was severe. Your cast will need to stay on until the broken bone has healed. you'll be asked to attend follow-up appointments to check how your arm or wrist is healing.a plaster cast will usually be applied to your arm before you go home.surgery may be carried out to realign the bones – this will often involve putting wires, plates, screws or rods inside your arm, but sometimes a temporary external frame may be used.a doctor may try to realign the broken bones with their hands – this will usually be done while you're awake, but your arm will be numbed and you may be given medicine to relax you.you'll probably be asked to attend follow-up appointments to check how your arm or wrist is healing.you'll be given painkillers to take home and told how to look after your cast.you may be given a sling to support your arm.a plaster cast or removable splint will usually be applied – sometimes this may be done a few days later, to allow any swelling to go down first (a splint can be left on until a cast is fitted).When you arrive at the hospital, you'll be given painkillers and a support (splint) may be fixed to your arm to secure it in position.Īn X-ray will be carried out to check whether your arm or wrist is broken and how severe the break is. If your child has injured their arm or wrist, try to get someone else to drive so you can support and comfort them. Stop any bleeding by applying pressure to the wound with a clean pad or dressing if possibleĪpply an ice pack (such as a bag of frozen peas wrapped in a tea towel) to the injured area if one is easily availableĭon't eat or drink anything in case you need surgery to fix the bone when you get to hospital Go to your nearest accident and emergency (A&E) department or call 999 for an ambulance if it's a bad break – minor fractures can often be treated at a local minor injuries unitĪvoid moving the affected arm as much as possible – it may help to support it in a sling that goes under the arm and around the neck find out how to make an arm sling If you think you or someone else has a broken arm or wrist: What to do if your arm or wrist is broken It's best to assume it's a fracture until it has been checked by a doctor or nurse. It can be hard to tell the difference between a minor break and a sprain. bleeding (if the bone has damaged the skin) – sometimes the bone may poke through the skinīecause of the shock and pain of breaking your arm, you may also feel faint, dizzy or sick. ![]() a snap or grinding noise at the time of injury.A broken (fractured) arm or wrist needs to be treated as soon as possible. It typically takes a month or two to heal.
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