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Understanding Distal Radius Fractures



When it comes to injuries of the wrist, few are as common as the distal radius fracture. At Vail-Summit Orthopaedics & Neurosurgery (VSON), our expert physicians, including Dr. Erik Dorf and Dr. Terrell Joseph, specialize in diagnosing and treating these fractures to help you regain function and mobility.


What is a Distal Radius Fracture?


A distal radius fracture occurs when the radius, one of the two long bones in the forearm, breaks near the wrist. This type of fracture is particularly common due to falls where people try to catch themselves with an outstretched hand. Distal radius fractures can be categorized into two main types:


  1. Colles Fracture: This is the most common type, where the broken fragment of the radius tilts upward.

  2. Smith Fracture: Also known as a reverse Colles fracture, this occurs when the broken fragment tilts downward.


Causes and Risk Factors


Several factors can increase the likelihood of sustaining a distal radius fracture:


  • Falls: Falling onto an outstretched hand is a primary cause.

  • Osteoporosis: Weakened bones due to osteoporosis are more susceptible to fractures.

  • High-Impact Sports: Activities like skiing, snowboarding, and biking can increase the risk of wrist injuries.

  • Age and Gender: Older adults, especially postmenopausal women, are more prone to these fractures due to decreased bone density.


Recognizing the Symptoms


The symptoms of a Colles fracture, or Smith Fracture can vary but commonly include:


  • Immediate Pain: Sharp pain at the wrist at the time of injury.

  • Swelling and Bruising: The area around the wrist may swell and bruise.

  • Deformity: A noticeable deformity or bend in the wrist.

  • Limited Movement: Difficulty or inability to move the wrist or hand.


Expert Diagnosis and Treatment


At VSON, Dr. Erik Dorf and Dr. Terrell Joseph are adept at diagnosing distal radius fractures through physical exams and imaging tests like X-rays. Once diagnosed, treatment options are tailored to the specific type and severity of the fracture.


Non-Surgical Treatments:


  • Casting or Splinting: Immobilizing the wrist to allow the bone to heal properly.

  • Pain Management: Medications to alleviate pain and reduce inflammation.

  • Physical Therapy: Exercises to restore range of motion and strength post-healing.


Surgical Treatments: In cases where the fracture is severe or misaligned, surgery may be necessary. Surgical options include:


  • Internal Fixation: Using metal pins, plates, or screws to hold the bone fragments in place.

  • External Fixation: A stabilizing frame outside the body to keep the bones in proper position during healing.


Prevention Tips


While it's impossible to prevent all injuries, these tips can help reduce your risk:


  • Bone Health: Maintaining strong bones through a balanced diet rich in calcium and vitamin D.

  • Fall Prevention: Using assistive devices and ensuring home safety to avoid falls.

  • Protective Gear: Wearing wrist guards during high-risk sports.


Why Choose Vail-Summit Orthopaedics & Neurosurgery?


At VSON, we pride ourselves on providing top-tier care with a personalized approach. Dr. Erik Dorf and Dr. Terrell Joseph are dedicated to delivering comprehensive treatment for distal radius fractures, ensuring patients receive the best possible outcomes. Whether you're dealing with a Colles fracture or a Smith fracture, our team is here to support your recovery journey with expertise and compassion.


Don't let a wrist injury keep you from enjoying your daily activities. Schedule a consultation with Dr. Dorf or Dr. Joseph at Vail-Summit Orthopaedics & Neurosurgery today and take the first step towards a pain-free, active life.

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