Question 1

What is a distal radius fracture?

Accepted Answer

The radius is one of two bones in your forearm. A distal radius fracture is a break near the wrist end of this bone - the most common fracture in adults. It usually happens from falling onto your outstretched hand. The break can be simple (one piece) or comminuted (broken into multiple pieces), and may or may not involve the wrist joint surface. Some fractures are stable and can be treated in a cast, while others are unstable and need surgery.

Question 2

How do I know if my wrist is broken or just sprained?

Accepted Answer

Both cause pain and swelling, but fractures typically cause: immediate severe pain, visible deformity, inability to move wrist, rapid significant swelling, and tenderness directly over the radius bone. Sprains hurt more with movement but wrist looks normal. However, you cannot reliably tell without X-ray. If you fell onto your hand and have significant pain and swelling, get it checked - even if you can move it somewhat, it might still be broken.

Question 3

Will I need surgery?

Accepted Answer

Depends on fracture pattern and your activity level. About 30-40% of distal radius fractures need surgery. Surgery more likely if: fracture is displaced (out of position), fracture is angulated (bent), fracture extends into the joint, fracture is comminuted (multiple pieces), you're young and active, or fracture involves your dominant hand. Stable, minimally displaced fractures in older, less active people can usually be treated successfully in a cast.

Question 4

What's the difference between a Colles fracture and Smith fracture?

Accepted Answer

Both are types of distal radius fractures, named by how the wrist is bent. Colles fracture (most common) - wrist bent backwards (dinner fork deformity), usually from falling on outstretched hand. Smith fracture (less common) - wrist bent forwards, usually from falling on back of hand or direct blow. Treatment principles are similar, though Smith fractures are often more unstable and may need surgery.

Question 5

Why does my hand swell after wrist fracture?

Accepted Answer

Swelling in your hand and fingers after wrist fracture is very common. Happens because: fracture causes inflammation and fluid accumulation, position in cast or after surgery affects drainage, and lymphatic drainage is impaired. This is why elevation is crucial - keeping hand above heart helps drain fluid. Finger exercises also help pump swelling out. Swelling gradually improves over weeks but may persist for several months.

Medical Disclaimer

Broken Wrist (Distal Radius Fracture)

📖What is Broken Wrist (Distal Radius Fracture)?

🔬What Causes It?

⚠️Risk Factors

You may be at higher risk if:

🛡️Prevention