Shattered Distal Radius
Posted , 65 users are following.
Fell down some stairs and got a Comminuted Intraarticular (in other words, bone shattered at the wrist joint). Thankfully (!!!) only the large bone - Distal Radius, and my left wrist. 5 pieces, put back into place and held there with 3 K-wires (pins).
Had backslab on top for 12 days, plaster cast which goes only 2/3 way round arm, underside only has soft padding - this keeps bones in place but allows for swelling. After that it was changed to a full cast, think it was fibreglass, looked like a bandage but when they wet it before wrapping it on and it dried rock hard within 30 mins, lighter than plaster of paris.
This stayed on for further 3 weeks. I was most surprised to only be in plaster for total 4 1/2 weeks. Initial relief to hear plaster was coming off and pins removed was shortlived.......
Blimey it is painful without the support of the cast - I didn't expect that, though they did say I would get shooting, stabbing and aching pains, I didn't really anticipate to what extent, or that I'd feel like Humpty Dumpty.
Started physio immediately, given mobilisation exercises to do at home for first week, surprised at how RIGID my wrist is, like trying to bend and turn a tree stump. Finger movements not so bad though, but no strength whatsoever.
Supidly thought plaster would come off, little bit of physio...............put it all behind me and drive off to work, all done and dusted in 6-8 weeks, tops. Somehow I don't think that's going to happen, silly me.
Think it's worse when the bone shatters at the joint, can't seem to find a forum with someone who has same experience to share, maybe offer me some reassurance about timescales etc.
If anyone is interested, I got a great product off the internet to keep cast completely dry in bath/shower/pool, good quality sealed plastic with rubber seal - called 'Limbo' £10 +pp £3 fast delivery, hospital gave me the leaflet. Also used a chopstick to disobey instructions not to shove things down the cast and scratch, just used it to give a gentle rub when it was driving me nuts.
9 likes, 242 replies
Nothing123 sagalout1954
Posted
Before that, thank you Elaine for your reply, I read it and never had the change to thank you. Its always nice to see support here, even if all our cases are different.
Now as a quick recap. Broke my wirst in March, had surgery in April (external fixator), everything was removed, so there is not metal in my hand at all.
After surgery the wrist was pretty bad, could hardly move at all, same as fingers. Now its been 4 months after my fixator was removed and I was fully into therapy (which I only do twice a month now). My fist its almost there (meaning I can make a fist but its not strong enough). My thumb is a it stiff still, but much better than before. Flexion and extension on the wrist have gotten much better as well. Extension its been super challenging to get better. Rotation has gottent better in the last weeks, before it hurt really bad when I try.
I saw my doctor two months ago and he said I could start using a 3lb/5lb dumbell if I wanted, to start losing my hand more (since my bone was healed enought to be ok). I started with the 3 pounds, it was extremely hard in the beggining, but just a week ago I could finally use a 5 pound dumbell. Its heavy for my hand, but its slowly getting bettter (please note that I dont go crazy on exercises, also dont try this without asking your doctor first). Its always important to be safe.
Im now working on trying to be able to do a push up maybe, but my wirst does not flex enough for it yet, its also too much weight for it i think. So I wil see how it goes on the next months.
For daily activities, I can drive,shower,do hair just fine, everything has to be slowly and carefully, but Im trying to use my hand as much as I can.
Wrist doesnt look exactly as my left one, but I think that after surgery and all my wrist its been to its not gonna look the same as before regardless, so I had accepted that by now, Im just focusing in trying to do my best to recover as much as possible. Doctor told me I will suffer from osteoporosis in the future as well, I read someone else that posted this, seems like its common after a broken bone that needed surgery or maybe just a broken bone. Not looking foward for it, but what else can be done now. So know that you are not alone on that one.
Sorry for the long post!, I would love to hear how everyone else is doing. Also if you just broke your wrist, be patient, it is a long process. Dont try to hurry to do things and hurt it, it will feel better, but it takes a long time. Im saying that from my long/paintful experience.
neil031014 sagalout1954
Posted
Signed up after seeing this topic, having felt very alone in terms or information about the future and my injury, Hope this helps someone else, reading through the previous posts has certainly cheered me up a bit and given me some hope.
I broke my distal radius just over a month ago, went to A&E, had a very bad experience and was sent home in a lot of pain, had to beg the next day to be seen by the fracture clinic asap. Luckily they agreed to see me later that week and they confirmed I had broken wrist, and i had an operation the next day, a week or so after sustaining.
I had shattered my distal radius at the joint with the end displaced and broken into a number of pieces. I had surgery and an external fixator with six pins and two sets of bars was fitted... As well as this my arm from the elbow to start of my fingers was bandaged. Spent a night in hospital.
Sent home next day with little information about what to do or expect. Upon returning home started leaking a large quantity of yellow fluid - at first very scary until i was told this was simply left over anasthethic and not to worry. will dry up in few days which it did.
First week was painful. Getting comfortable with the fixator and struggling with the everyday tasks. Found it very frustrating. Swelling was so much that i resorted to holding my arm raised well above my shoulder. having it in a sling was too painful and awkward. The slings just didn't seem to work with the external metal work. the supports were all in the wrong place and not movable.
Second week still painful, no change. Swelling still not stable. Fingers like sausages, limited if any movement. First round of xrays, first post op consultation.... bandages remove and advised to keep fixator on. Little plasters fitted around pin sites. come back in two weeks. Rest of the week was so painful as my arm would swell and contract, the little plasters pulling at my skin more painful than having the fixator in place.
Third week pain subsiding, but plasters still source of irritation.stopped pain killers, although feeling hot, tingles and sharp shooting pains. limited finger movement... felt hopefull
Fourth week Fixator still in place can move fingers and thumb although have lock up tension feeling along arm from time to time. No other pain to speak of. Can't wait for fixator to come off. Docs advised keeping on for further two weeks at least.advised about likely arthritis in joint and seriousness of injury. Advised they didn't need to change plasters or clean pin sites. If I felt need to clean them i could. skin around my hand was very dry and had started to shed a layer.
Left hospital depressed.
Fifth week Feeling a lot better, can now move all my fingers, enough to be able to type, have a dull numbness though in terms of feeling from fingers. fixator still in place, still lock up tension feelings now and then . dry skin, plaster/ pin site irritation. Also weather has got cold. Feeling the cold through the pins when i go outside.
Will update next week.....
Best wishes to all whatever your stage on the road to recovery.... and thanks for all the inspiring posts.
Neil
jeannette54 sagalout1954
Posted
All such a long time ago for me now, no lasting problems & only 2 small scars left on my wrist from the pins. I don't even have a problem in the winter months, someone told me I may have an 'achey' wrist during the cold weather but I've noticed nothing.
jessyks39 - Don't worry about the push-ups, you will eventually be able to take the weight on your wrist, that did take a little time.
neil031014 - I'm sure others following you (eventually), will take comfort from your story & updates will help them on their road to recovery as you progress down yours. I think we all suffer from the "it's never going to be the same again" feeling but for most of us it seems it pretty well does fully recover in the end.
I wonder if nappy cream may help your dry skin & the irritation better than anything else?
Haven't fully followed all the subsequent posts to my initial one all that time ago, but think they will inspire those to come.
oxig3nc sagalout1954
Posted
helen2127 sagalout1954
Posted
The pieces were manipulated into an 'acceptable' position in A&E and I've had two follow up x-rays to check the position which has stayed within acceptable limits.
I've been advised that I will have long term consequences of stiffness and and aches although the arthritis word hasn't been mentioned.
I'm so glad I've found this thread as I felt a bit clueless as to what would happen next. I kind of thought like another poster, that the cast would come off, it'd be a bit stiff for a while but almost back to normal pretty quickly with a few exercises. Now I think I'm prepared for a bit more of a long haul.
The consultant has said the cast will be taken off in two weeks (from now) and I'll have a splint for another two. Will I have to check with my insurance company if I can drive in it? I'm not sure of the regulations!
I had it in my mind that I'd be able to take my two year old back to her Puddle Ducks swimming lessons after Christmas, but after reading your comments I'm not sure I'll be ready.
What a disappointing thing to have happened. I feel for you all, but I also take comfort in your comments that it'll get better in time.
I'm also day six post tonsillectomy so I've a lot going on right now! But at least it's taken my mind off my wrist for a while! The thought of more painkillers after my cast comes off is an unpleasant one as I think I've had my quota for the whole year by now! I can't wait to be back to normal!!!
I was surprised by the comment that said they were not allowed back to work in a school for so long. I teach one day a week and was advised by my consultant that I'd be fine back at work. I took the first week off as I didn't feel ready but went in the following week. I have to say it wasn't easy and it ached awfully for a couple of days after, but the kids were great and helped out a lot! Although I'm not looking forward to going back with a weak voice and a weak arm!
Thanks again for starting this thread, as there is so little information out there for shattered wrists and it can be a bit of a lonely experience.
helen2127 sagalout1954
Posted
Ive been rubbing in coconut oil (my newest wonder product find!) And it seemed to help.
I took a bath yesterday without my limbo as it usually gets sweaty and uncomfortable in it. I laid my arm on a towel and the moisture softened my hand but my cast didn't get sweaty. I was a bit horrified to find my skin peeling off when I rubbed it with a towel!! But I read it's normal and it doesn't feel as dry now. I dread to see what state my arm will be in after six weeks! I might try coconut oil on that too.
Nothing123 sagalout1954
Posted
Fingers feel normal, rotation almost normal, i got a bit more to go, flexion down almost normal, flexion up still half way (I think this is the most challenging one) but he said it will be better in the next months.
neil031014: There is so much I wish I could type for you, since you are going thru a lot of similar things when it comes to the fixator, etc. The pins pulling around the skin is normal (i know it hurts), I used to clean them with a mix of a bit of peroxide and water, then just clean around the pins carefully with a swab, but dont be rough on them, every 2 days should be fine.
When they remove my fixator, put it in sort of a half cast to hold it place, 1 month later they put me in a splint. My hand felt super heavy, thats normal, it will feel like that for a bit, so dont panic. Also my thumb felt numb contanly, but it went away little by little. Your hand will be swell for a while.
jeannette54: Thanks for starting the thread, its been def been helpfull for me!. I was wondering if you recover flexing up as the other hand, or less?. Therapists said I might not recover flexing up all the way as the other hand.
Also guys, dont worry about the dry skin, its completely normal, since we dont get to wash or use the hand at all, just keep lotion it. I used regular lotion, and after i could wash it, skin went back to normal little by little.
jeannette54 Nothing123
Posted
We all use the 'normal' word a lot don't we, VERY stressful for the first few months afterwards when 'normality' of movement still seems such a long way off! You'll all get there eventually, I think everyday living helps mobility though if anyone is in manual labour type work that must be hard.
Helen2127 - If your consultant has said you must wear a splint (& given you one), then I'd say you should definitely check with your car insurer as that instruction is likely to be on your medical notes. I wore a splint for a couple of weeks but I bought it off the internet myself (not told to wear one) - a neat velcro fastening one with a removable metal splint inside it. I needed a touch more 'ooomph' when changing gear so I just wore it for driving for a couple of weeks, with the intention in an accident of whipping it off!
Good luck all of you here, & those still to come. Check out the Limbo site, so much better when you can have a decent bath/shower. Also, when dressing put a large plastic bag over your hand/cast, easier to pull jumpers etc over while you're dressing.
chrisp55 jeannette54
Posted
I broke my distal radius almost 8 weeks weeks, my dominant hand of course.
it was a simple break and I went straight into a fibreglass cast.
I also had feelings almost of panic occasionally, just wanted the horrible tight thing off!
2 weeks after removal I am feeling so miserable. My hand is still swollen and hot. I can barely make a fist, my fingers are tight.My hand is weak and still fairly useless. Also I am getting sharp stinging pains on the palm side of my wrist. My skin on the back of my hand is tender to touch.
I am doing physio directed exercises religiously but sometimes wonder if it will ever get better.
I'm so pleased that a lot of my symptoms seem quite common and that other people have made great progress.
jeannette54 chrisp55
Posted
chrisp55 - Dominant hand must be more difficult I think, but being obliged to use it may also help mobility return a bit quicker. Try not to worry about the swelling (a thing I forgot about that actually), but it was quite a few weeks before my wedding/eternity/engagement rings fit on again.
The stinging pains & tender skin may be some nerve damage? Hopefully that will settle.
You will reach a point when you forget you broke your wrist, that was the point when I nearly dropped a whopping bottle of Comfort (no not Southern Comfort - the laundry softener type
), as I automatically went to catch it with my left hand I almost passed out with the pain. Served as a reminder to be a bit more careful.
Good luck with the healing.......patience, patience, patience!
neil031014 Nothing123
Posted
Haven't had the energy or capability to update until now following my original post. I had another operation to remove the fixator a week or so after my post. Wasn't prepapred for another op. all consulations up to then had suggested it could be removed without even needing local anaesthisia as could the you tube videos i'd viewed to prep myself. Prior to going in i'd kinda got used to the pain and awkwardness, post op pain went to a new level, I was put into a crepe bandage no splints or casts and as my arm, fingers all swelled and contracted the pain increased and decreased. I coudn't move once more. It was more painful than the initial break or installation of the fixator. The pin sites were sore, covered up with little plasters and I could feel blood rushing around. Now my arm was essentially free I could also feel it flex when i moved and my musles tug.I felt like i had the arm of a manneguin stuck on from my elbow. no real control just a stick I could wave about.
Two weeks on the bandages were removed. I was still in pain up to the consultation however removal of the bandage was like winning the lottery. A lot of the pain went instantly and my hand suddenly felt so much lighter. Wonder how much of the discomfort was actually down to the bandage?
A day or so later though the pain came back to bite. I could now feel each movement of my hand or fingers not in my bones but in resitance within my muscles.
Until today, almost two and half weeks post fixator and a few days post bandage removal I could not move my fingers to be able to login to my PC. I still have little lateral movement but the first signs of progress are emerging.
I have been advised not to drive for at least another four weeks so now been off the road for just over two months with at least another 1 to go. Having tried to move my car on the driveway an auto to get it out of the way I would say 1 month maybe optimistic. Remember to jump in and start it every now and then to maintain the battery.
Helen2127 - Agree with Jeanette54 definitely check with your car insurer and be sure your realistic about your capabilities before you set off. imo it's not worth the risk of rushing back or having another accident.
I too wasn't given anything by the hospital to protect my arm/wrist so have purchased some additional protection from ebay. Had a scare when my 6 yr old grabbed my hand. The pain was excruitating.
She was not to know that I still wasn't 100%, No Fixator, bandage or anything to suggest otherwise. I purchased a Breathable Wrist Brace Carpal Tunnel Splint Support Arthritis Sprain Strain Pain. this has proved invaluable and given me confidence, protection and reminded all around me that i'm still not 100%.
Skin has almost recovered completely. After the bandage came off Shed a few layers of skin, then I gave my arm lukewarm > warm baths morning and evening. Seems to be OK now. Around pin sites I have small scars, ' mini hills ' and these can be sensitive when caught on a short or jumper.. Hoping these will subside in time.
At week 9 since original injury - Unable to twist hand, bend back or form a fist. Also have a worrying tremor in my hand if i try to hold a key down on the keyboard. Have limited thumb movement and can flex fingers slightly. I can pick up a biro though between my fingers
Good Luck all and will update again once physio is underway.
jeannette54 neil031014
Posted
Sorry Neil, I know that wasn't funny for you, nor meant to be funny - but memories came flooding back to me. Been there, done that!
Some of the blogs (yours included) sound so much more appalling than my experience. I'm pleased you have posted to support others on their busted limb journey.
I genuinely think exercise, first with the physio and also constantly in between on your own (as far as avoiding pain will allow), is the main key to getting back as much range of movement as possible.
Funny how loss of range of movement goes much faster than getting it back. 2 months to get like a piece of immovable wood and several months of relentless excercising to get back movement range.....doesn't seem fair.
neil031014 jeannette54
Posted
13 Week since original injury. 6 weeks post External fixator removal.
Since my last post I have had three physio sessions on a weekly basis with a longer break in between for Christmas. with one final session scheduled next week. And by following the exercises daily I have made progress beyond my expectations. I've been given the OK to start driving again, albeit auto; and my arm has gone from a ' stick '
to almost being back to where it was before. I have put a lot a of effort in and been through quite a bit of pain doing exercises wherever I could. If I've had a moment spare I've squeezed a few exercises in each time just pushing to where it becomes uncomfortable then pulling back.
I have also managed to get hold of a parafin wax bath, a little expensive as i'm not planning long term use, but for around #120 well worth the investment for the pain relief especially after your own physio sessions. This worked for me and may work for you too. Check with you doctor first.I beleive it should only be used once you've started physio.
Still a little way to go, but no longer in pain, and apart from some residual stiffness which i'm sure will subside if I continue I'm almost there so for all of you still in pain or just starting your journey i promise you that progress isn't always linear. Follow your doctors advice, take things at a steady pace, don't expect too much too soon, and soon you'll see the light at the end of your tunnel.
marion03334 sagalout1954
Posted
Glad to have found this site when looking for wrist excercises.
I fractured my wrist 7 weeks ago while in Greece - falling down slippy steps after warning others. Very efficient Greek A & E but rather brutal as I had two doctors and a nurse pulling on my arm and fingers (re aligning) withou any pain relief . Wrist was set in a very strange bent over way rather like a swans neck.
On return to UK 2 weeks later heavy greek plaster of paris caste was removed. I was told that the Greek doctors had done a good job as the bones had been crushed but wrist needed further re-alignment this time with a local thank goodness; Another lighter cast was put on still in strange bent fashion. Next visit consultant horrified at bent over cast position - had to try and put hand in neutral while re plastering -consultant told me not to raise fingers above neutral as I could crush bones which were healing - a bit scary.
That was 4 weeks ago and today caste was removed. After 7 weeks in a caste like others I have symptons of stiffness/ pain and swelling. I am most concerned that I cannot turn my wrist face up- it is hard enough to get it at a right angle - I can't imagine how I will ever be able to rotate my wrist to get it palm upermost and excercises shown on the net don't seem to acknowledge this.
Consultant made a 'urgent' physio referral but he said the wait for for urgent cases was still 4 weeks. His advice was to fill a bucket with warm water (he even said put fairy liquid in - I wonder if that is a magic ingredient) then I should submerge my arms in up to my elblows and keep wringing out a dishcloth while keeping arms in water, Tomorrow I am going out to get a big bucket!
It has been useful to hear all your experiences and advice re excercises.
jeannette54 marion03334
Posted
Marion - you will regain more than enough movement, though perhaps not exactly 100% (mine is maybe 98-99% - lost just a fraction on the forward & backwards bend), but it takes TIME, & persistence with exercises (gently, but don't give up). At the moment you have what feels like a piece of wood where your wrist used to be. Doesn't bend, rotate, stiff, swollen, sore & you feel very sorry for yourself (rightly so).
I'm shocked that you must wait 4 weeks for physio, I went straight there when my cast was removed, & weekly from then on, but not for long, when I was about 30% movement they said I had to continue on my own! (They were right.) The sooner you're shown what you should be doing, the better.
I'm extremely loathe to suggest any of my exercises, as your injury was different BUT.........you know what your wrist and hand could do before all this, I'd aim to try a gentle range of these motions (GENTLE - can't stress that enough), but don't expect anything other then the tiniest movement in any direction. Persistence is the key. Do this as often as possible (sitting watching TV etc), I had specific times when I'd sit and 'formally' do my exercises, then fitted more in whenever I was loafing about.
Bend, flex, turn to right & left, rotate clockwise & anti. You'll probably get a mere millimetre in any direction at first, expectation must be kept LOW & you must be very careful not to go too far - pain won't help nor speed things up. I flexed my hand into a fist constantly, I was told to even when my cast was on (& did), so my actual fingers were never stiff, I assume I was working joints, muscles, tendons etc so carried on when the cast was off. This sounds like what your consultant has said you can do while you wait for physio. Under no circumstances try to 'push' yourself further than a bit of discomfort. Little & often.
Good luck to all of you who continue to fracture bits of yourself
It DOES improve, but it will take longer & require more effort from you than the actual break/s took to heal.
marion03334 jeannette54
Posted
neil031014 marion03334
Posted
marion03334 neil031014
Posted
Thanks.
neil031014 marion03334
Posted
Check out a parafin wax bath as well If you can get hold of one you'll enjoy the benefits post your DIY physio sessions and whenever your wrist aches. Small price to pay for the soothing benefits when you are recovering. It's almost as if it calms everything down plus is also meant to offer beauty benefits....
.... worked wonders on my rough hands.