Złamanie ręki lub nadgarstka
Charakterystyka, pielęgnacja i opieka

Złamania ręki i nadgarstka, obejmujące kości promieniową, łokciową, ramienną oraz kości nadgarstka, stanowią jedne z najczęstszych urazów układu kostnego u pacjentów w różnym wieku. Diagnostyka opiera się na badaniu fizykalnym i obrazowym, głównie RTG, a w skomplikowanych przypadkach na CT lub MRI. Leczenie zależy od stabilności i charakteru złamania – stabilne złamania bez przemieszczenia leczone są zachowawczo poprzez repozycję i unieruchomienie gipsowe lub szyną przez 3-8 tygodni, natomiast złamania niestabilne, wieloodłamowe lub z uszkodzeniem powierzchni stawowych wymagają interwencji chirurgicznej (ORIF, stabilizacja zewnętrzna, przeszczepy kostne). Kluczowe jest monitorowanie stanu neurowaskularnego kończyny, kontrola bólu (paracetamol, NLPZ, opioidy w razie potrzeby) oraz zapobieganie powikłaniom, takim jak zespół ciasnoty przedziałów powięziowych, nieprawidłowy zrost czy uszkodzenia nerwów i ścięgien.

Złamanie ręki lub nadgarstka – charakterystyka

Złamanie ręki lub nadgarstka to przerwanie ciągłości kości w obrębie kończyny górnej, obejmujące kości nadgarstka, promieniową, łokciową lub ramienną. Złamania te należą do najczęstszych urazów układu kostnego zarówno u dzieci, jak i dorosłych. W przypadku dorosłych złamania kończyny górnej stanowią prawie połowę wszystkich złamań kości, natomiast u dzieci złamania przedramienia są drugim najczęstszym urazem po złamaniach obojczyka.1 Złamania mogą mieć różny stopień zaawansowania – od małych pęknięć (złamań włosowatych), po złamania, w których kość jest rozbita na dwie lub więcej części.23

W przypadku nadgarstka, złamanie może dotyczyć jednej lub obu kości przedramienia (promieniowej i łokciowej) oraz którejś z ośmiu małych kości nadgarstka. Najczęstszym złamaniem nadgarstka jest złamanie dalszej części kości promieniowej, nazywane złamaniem dystalnym kości promieniowej lub złamaniem Collesa.45

Najczęstszą przyczyną złamania nadgarstka lub ręki jest upadek na wyciągniętą dłoń. Inne częste przyczyny to urazy sportowe, wypadki samochodowe czy bezpośrednie uderzenia w kończynę. U osób starszych ze słabszymi kośćmi nawet niewielki upadek z wysokości własnego ciała może spowodować złamanie.6

Objawy i diagnoza złamania ręki lub nadgarstka

Rozpoznanie złamania ręki lub nadgarstka opiera się na dokładnym badaniu fizykalnym oraz diagnostyce obrazowej. Charakterystyczne objawy złamania obejmują:78

  • Silny ból, zwłaszcza nasilający się przy próbie ruchu
  • Obrzęk i zasinienie w miejscu urazu
  • Widoczną deformację kończyny
  • Ograniczenie lub brak możliwości ruchu w stawie
  • Trzeszczenie lub tarcie kostne podczas ruchu
  • Charakterystyczny trzask lub dźwięk łamania się kości w momencie urazu
  • Drętwienie lub mrowienie w palcach (może wskazywać na uszkodzenie nerwów)
  • W przypadku złamań otwartych – widoczne fragmenty kości przebijające skórę

Diagnostyka zazwyczaj obejmuje:910

  • Badanie fizykalne – ocena bólu, deformacji, obrzęku i zakresu ruchu
  • Zdjęcia rentgenowskie – podstawowe badanie potwierdzające złamanie
  • W bardziej skomplikowanych przypadkach – tomografia komputerowa (CT) lub rezonans magnetyczny (MRI) dla dokładniejszej oceny złamania i okolicznych tkanek miękkich

W przypadku podejrzenia złamania ręki lub nadgarstka konieczne jest szybkie zgłoszenie się do lekarza lub na SOR. Zwlekanie z diagnozą i leczeniem może prowadzić do nieprawidłowego zrostu kości i długotrwałych komplikacji, szczególnie u dzieci, które goją się szybciej niż dorośli.11

Metody leczenia złamania ręki lub nadgarstka

Leczenie złamania ręki lub nadgarstka zależy od wielu czynników, takich jak rodzaj złamania, jego lokalizacja, stopień przemieszczenia odłamów kostnych oraz ogólny stan zdrowia pacjenta. Głównym celem leczenia jest prawidłowe ustawienie odłamów kostnych, zabezpieczenie ich przed przemieszczeniem oraz umożliwienie prawidłowego zrostu.1213

Leczenie zachowawcze

W przypadku złamań stabilnych, bez przemieszczenia odłamów, zazwyczaj wystarczające jest leczenie zachowawcze:1415

  • Repozycja (nastawienie) – jeśli złamane części kości nie są prawidłowo ustawione, lekarz może wykonać repozycję zamkniętą, czyli nastawienie kości bez konieczności wykonywania nacięcia skóry. Procedura ta zwykle wymaga znieczulenia miejscowego lub ogólnego.
  • Unieruchomienie – po nastawieniu złamania stosuje się gips, szynę lub ortezę, aby utrzymać kości w prawidłowej pozycji podczas gojenia. W pierwszych dniach może być stosowana szyna zamiast pełnego gipsu, aby umożliwić zmniejszenie obrzęku.
  • Kontrola radiologiczna – regularne badania obrazowe są niezbędne do monitorowania prawidłowości procesu gojenia i ewentualnego skorygowania leczenia.

Czas noszenia gipsu lub szyny zależy od rodzaju złamania i wynosi zwykle od 3 do 8 tygodni.16

Leczenie operacyjne

W przypadku złamań niestabilnych, wieloodłamowych, przemieszczonych lub z uszkodzeniem powierzchni stawowych może być konieczne leczenie operacyjne:1718

  • Stabilizacja zewnętrzna – zastosowanie zewnętrznych elementów mocujących, takich jak druty Kirschnera, które przechodzą przez skórę i utrzymują kości w odpowiednim położeniu.
  • Stabilizacja wewnętrzna (ORIF – open reduction and internal fixation) – operacyjne nastawienie złamania i wewnętrzna stabilizacja za pomocą płytek, śrub lub gwoździ wykonanych ze stali nierdzewnej lub tytanu. Ta metoda pozwala na wcześniejsze rozpoczęcie rehabilitacji ręki.
  • Przeszczepy kostne – w przypadku złamań z ubytkiem tkanki kostnej może być konieczne uzupełnienie ubytku przeszczepem kostnym.

Po zabiegach operacyjnych często stosuje się krótkotrwałe unieruchomienie w szynie lub gipsie, a następnie wczesną, kontrolowaną rehabilitację.19

Leczenie przeciwbólowe

Ważnym elementem leczenia złamań jest kontrola bólu:20

  • Leki przeciwbólowe nieopioidowe (paracetamol) i niesteroidowe leki przeciwzapalne (ibuprofen, naproksen).
  • W przypadku silnego bólu, szczególnie po operacji, mogą być krótkotrwale stosowane opioidowe leki przeciwbólowe.
  • Zimne okłady – stosowane przez 10-20 minut co 1-2 godziny w pierwszych dniach po urazie, w celu zmniejszenia obrzęku i bólu.

Pielęgnacja i opieka nad pacjentem ze złamaniem ręki lub nadgarstka

Odpowiednia pielęgnacja i opieka nad pacjentem ze złamaniem ręki lub nadgarstka ma kluczowe znaczenie dla procesu gojenia i zapobiegania powikłaniom. Obejmuje ona szereg działań, które powinny być realizowane zarówno przez personel medyczny, jak i samego pacjenta.2122

Opieka pielęgniarska w warunkach szpitalnych

Diagnoza pielęgniarska u pacjenta ze złamaniem ręki lub nadgarstka może obejmować:2324

  • Ból ostry związany z urazem i procesem leczenia
  • Ograniczona mobilność fizyczna wynikająca z unieruchomienia kończyny
  • Ryzyko zaburzeń nerwowo-naczyniowych obwodowych związanych z obrzękiem i unieruchomieniem
  • Ryzyko infekcji (szczególnie w przypadku złamań otwartych lub po zabiegach operacyjnych)
  • Deficyt samoopieki związany z ograniczeniem funkcji ręki
  • Ryzyko zaburzeń integralności skóry wynikające z unieruchomienia w gipsie lub szynie

Priorytetowe interwencje pielęgniarskie obejmują:2526

  • Zapewnienie komfortu i łagodzenie bólu – stosowanie leków przeciwbólowych zgodnie z zaleceniami lekarza, zimnych okładów, odpowiednie ułożenie kończyny
  • Monitoring stanu neurowaskularnego kończyny – ocena koloru skóry, temperatury, czucia, ruchomości palców, tętna obwodowego
  • Zapobieganie obrzękowi – uniesienie kończyny powyżej poziomu serca w pierwszych dniach po urazie
  • Kontrola opatrunku, gipsu lub szyny – ocena pod kątem zbyt ciasnego dopasowania, które mogłoby prowadzić do zespołu ciasnoty przedziałów powięziowych
  • Edukacja pacjenta w zakresie samoobserwacji, pielęgnacji gipsu, ćwiczeń wolnych palców i stawów niezaangażowanych w złamanie
  • Zapobieganie powikłaniom unieruchomienia – zachęcanie do wczesnej mobilizacji niezłamanych części ciała, ćwiczenia oddechowe, zapobieganie odleżynom

Pielęgnacja domowa

Po wypisie ze szpitala pacjent powinien przestrzegać następujących zaleceń:2728

  • Dbanie o gips lub szynę – utrzymanie jej w suchości, unikanie wkładania przedmiotów pod gips, obserwacja pod kątem pęknięć lub poluzowania
  • Unoszenie kończyny – szczególnie w pierwszych dniach po urazie, aby zmniejszyć obrzęk; podpieranie ręki na poduszkach podczas siedzenia lub leżenia
  • Ćwiczenia palców i innych stawów – regularne poruszanie palcami, a także stawami niezaangażowanymi w złamanie (np. łokieć, ramię), aby zapobiec sztywności i utrzymać krążenie
  • Przyjmowanie leków przeciwbólowych zgodnie z zaleceniami
  • Obserwacja pod kątem niepokojących objawów – nasilenie bólu, zmiana koloru palców (bladość, sinienie), drętwienie lub mrowienie, utrata czucia, uczucie zbyt ciasnego gipsu
  • Przestrzeganie terminów wizyt kontrolnych i badań obrazowych

Pacjentowi należy zalecić natychmiastowy kontakt z lekarzem w przypadku wystąpienia któregokolwiek z niepokojących objawów.29

Specjalne zalecenia dla personelu pielęgniarskiego

Personel pielęgniarski pracujący z pacjentami ze złamaniem ręki lub nadgarstka powinien:3031

  • Systematycznie oceniać stan neurowaskularny kończyny, szczególnie w pierwszych 48 godzinach po urazie lub zabiegu
  • Zwracać szczególną uwagę na objawy zespołu ciasnoty przedziałów powięziowych (narastający ból, bladość skóry, parestezje, osłabienie mięśni, ból przy biernym rozciąganiu mięśni) – jest to stan nagły wymagający natychmiastowej interwencji
  • Edukować pacjenta i rodzinę odnośnie objawów, które wymagają pilnej konsultacji medycznej
  • Asystować przy zmianach opatrunków i kontroli gojenia ran pooperacyjnych, obserwując pod kątem objawów infekcji
  • Współpracować z zespołem fizjoterapeutów w celu wczesnego rozpoczęcia ćwiczeń rehabilitacyjnych (gdy jest to wskazane)
  • Dokumentować dokładnie wszystkie obserwacje i interwencje

Rehabilitacja po złamaniu ręki lub nadgarstka

Rehabilitacja jest kluczowym elementem leczenia złamania ręki lub nadgarstka. Jej celem jest przywrócenie pełnej funkcji kończyny, siły mięśniowej i zakresu ruchu. Proces rehabilitacji powinien być dostosowany indywidualnie do pacjenta, rodzaju złamania i zastosowanego leczenia.3233

Etapy rehabilitacji

Rehabilitacja po złamaniu ręki lub nadgarstka zazwyczaj obejmuje następujące etapy:3435

  • Wczesna mobilizacja – jeszcze w czasie unieruchomienia zaleca się ćwiczenia palców, łokcia i barku, aby zapobiec sztywności i utrzymać krążenie
  • Fazę po zdjęciu gipsu lub szyny – początkowo ćwiczenia są delikatne, skupione na stopniowym przywracaniu zakresu ruchu i zmniejszaniu sztywności
  • Fazę wzmacniania – gdy możliwy jest już pełny zakres ruchu, rozpoczyna się ćwiczenia wzmacniające osłabione mięśnie
  • Fazę funkcjonalną – przywracanie zdolności do wykonywania codziennych czynności i aktywności zawodowych

Rodzaje ćwiczeń rehabilitacyjnych

Program rehabilitacji zwykle obejmuje:3637

  • Ćwiczenia zwiększające zakres ruchu – pasywne, aktywne wspomagane i aktywne ćwiczenia poprawiające mobilność stawu
  • Ćwiczenia rozciągające – delikatne rozciąganie przykurczonych tkanek miękkich
  • Ćwiczenia wzmacniające – początkowo z małym oporem, stopniowo zwiększanym wraz z postępem rehabilitacji
  • Ćwiczenia propriocepcji – poprawiające czucie głębokie i kontrolę nerwowo-mięśniową
  • Ćwiczenia funkcjonalne – ukierunkowane na konkretne aktywności istotne dla pacjenta
  • Techniki manualne – mobilizacje stawowe, masaż tkanek miękkich, techniki rozluźniania mięśniowo-powięziowego

Fizjoterapeuci często stosują również fizykoterapię, taką jak ultradźwięki, laser czy elektroterapia, aby zmniejszyć ból i wspomóc gojenie.38

Czas trwania rehabilitacji

Czas trwania rehabilitacji zależy od kilku czynników, w tym:3940

  • Rodzaju i ciężkości złamania
  • Wieku i ogólnego stanu zdrowia pacjenta
  • Zastosowanej metody leczenia (zachowawcze vs operacyjne)
  • Współistniejących urazów lub chorób

Zwykle pełna rehabilitacja trwa od kilku tygodni do kilku miesięcy. Podstawowe funkcje nadgarstka i ręki zazwyczaj wracają w ciągu 8-10 tygodni po zabiegu, natomiast pełna sprawność, w tym możliwość powrotu do aktywności sportowych czy cięższych prac fizycznych, może wymagać 3-6 miesięcy.41

Warto podkreślić, że pełne odzyskanie siły może zająć do 2 lat, a niektórzy pacjenci mogą odczuwać sztywność i dyskomfort przez dłuższy czas, szczególnie przy zmianach pogody.42

Powikłania i profilaktyka złamań ręki i nadgarstka

Złamania ręki i nadgarstka, pomimo zazwyczaj dobrego rokowania, mogą prowadzić do różnych powikłań. Świadomość tych możliwych komplikacji oraz wiedza na temat profilaktyki są istotne zarówno dla personelu medycznego, jak i pacjentów.43

Możliwe powikłania

Do najczęstszych powikłań złamań ręki i nadgarstka należą:4445

  • Zespół ciasnoty przedziałów powięziowych – nagły wzrost ciśnienia w przedziale mięśniowym, prowadzący do zaburzenia krążenia i nerwów; wymaga natychmiastowej interwencji
  • Nieprawidłowy zrost (zrost wadliwy) – nieprawidłowe ustawienie kości podczas gojenia, prowadzące do deformacji i zaburzeń funkcji
  • Opóźniony zrost lub brak zrostu – wydłużony czas gojenia lub brak gojenia kości
  • Przewlekły ból i sztywność – mogące utrzymywać się nawet po zakończonym leczeniu
  • Uszkodzenie nerwów – prowadzące do zaburzeń czucia, drętwienia, mrowienia lub osłabienia mięśni
  • Uszkodzenie ścięgien – mogące ograniczać ruchy palców i nadgarstka
  • Infekcje – szczególnie w przypadku złamań otwartych lub po operacji
  • Pourazowa choroba zwyrodnieniowa stawów – rozwija się często po złamaniach z uszkodzeniem powierzchni stawowych
  • Zespół bólu regionalnego kompleksowego (CRPS) – rzadkie, ale poważne powikłanie charakteryzujące się nieproporcjonalnym do urazu bólem, obrzękiem, zmianami koloru i temperatury skóry

Profilaktyka złamań

Profilaktyka złamań ręki i nadgarstka obejmuje:4647

  • Zapobieganie upadkom
    • Usuwanie przeszkód w domu (luźne dywany, przewody)
    • Odpowiednie oświetlenie
    • Używanie poręczy na schodach
    • Ostrożność na śliskich powierzchniach
  • Ochrona podczas aktywności sportowych
    • Stosowanie ochraniaczy na nadgarstki podczas sportów wysokiego ryzyka (jazda na rolkach, snowboard)
    • Właściwa technika upadania (unikanie wyciągania rąk)
  • Zapobieganie osteoporozie
    • Odpowiednia podaż wapnia i witaminy D
    • Regularna aktywność fizyczna z obciążeniem
    • Unikanie palenia i nadmiernego spożycia alkoholu
    • Leczenie farmakologiczne osteoporozy u osób z podwyższonym ryzykiem złamań
  • Wzmacnianie mięśni przedramienia i nadgarstka poprzez regularne ćwiczenia

Praca pielęgniarki ze złamaniem ręki lub nadgarstka

Pielęgniarki mogą również doświadczyć złamania ręki lub nadgarstka, co stanowi szczególne wyzwanie zawodowe. Możliwość wykonywania obowiązków zawodowych z kończyną w gipsie zależy od kilku czynników:4849

  • Polityki placówki medycznej – niektóre szpitale i przychodnie nie mają stanowisk z ograniczonymi obowiązkami, wymagając od personelu 100% sprawności
  • Zakresu obowiązków – niektóre zadania mogą być niemożliwe do wykonania z kończyną w gipsie
  • Rodzaju złamania i zastosowanego unieruchomienia
  • Zaleceń lekarza prowadzącego – konieczne jest zaświadczenie lekarskie określające możliwy zakres obowiązków
  • Kwestii kontroli zakażeń – gips może stanowić rezerwuar drobnoustrojów i utrudniać właściwą higienę rąk

W wielu przypadkach pielęgniarki ze złamaniem niedominującej ręki mogą kontynuować pracę z pewnymi ograniczeniami, jednak często wymagane jest tymczasowe przeniesienie na stanowisko administracyjne lub urlop z powodu niepełnosprawności krótkoterminowej.50

Specyfika opieki nad dziećmi ze złamaniem ręki lub nadgarstka

Złamania ręki i nadgarstka należą do najczęstszych urazów w wieku dziecięcym. Opieka nad dziećmi z takimi złamaniami wymaga uwzględnienia specyfiki wieku rozwojowego, szczególnych cech kości dziecięcych oraz aspektów psychologicznych.5152

Specyfika złamań u dzieci

Złamania u dzieci różnią się od złamań u dorosłych pod kilkoma względami:5354

  • Szybsze gojenie – kości dzieci goją się znacznie szybciej niż kości dorosłych
  • Obecność chrząstek wzrostowych (płytek wzrostu) – ich uszkodzenie może prowadzić do zaburzeń wzrostu kości
  • Większa elastyczność kości – u dzieci często występują złamania typu „zielonej gałązki”, gdzie kość jest pęknięta tylko z jednej strony
  • Większa zdolność do remodelowania – kości dzieci mają większą zdolność do korekcji niewielkich deformacji podczas dalszego wzrostu

Leczenie i pielęgnacja

Podstawowe zasady leczenia dzieci ze złamaniem ręki lub nadgarstka obejmują:5556

  • Odpowiednie uśmierzanie bólu – stosowanie leków przeciwbólowych dostosowanych do wagi i wieku dziecka
  • Unieruchomienie – często wystarczy sama szyna gipsowa lub gips, rzadziej konieczne jest leczenie operacyjne
  • Elewacja kończyny – szczególnie w pierwszych 2-3 dniach, aby zmniejszyć obrzęk
  • Temblak – stosowany w pierwszym tygodniu, zapewniający komfort i utrzymujący palce powyżej poziomu łokcia
  • Regularne kontrole radiologiczne – zazwyczaj po 5-7 dniach od urazu, aby ocenić pozycję odłamów kostnych

Szczególne aspekty pielęgnacji dzieci ze złamaniem:5758

  • Dbanie o gips – utrzymanie go w suchości (podczas kąpieli należy zabezpieczyć gips wodoszczelnym materiałem)
  • Zapobieganie swędzeniu pod gipsem – należy unikać drapania pod gipsem oraz wkładania jakichkolwiek przedmiotów pod gips
  • Obserwacja pod kątem niepokojących objawów – silny ból, zmiana koloru palców, drętwienie, utrata zdolności poruszania palcami
  • Powrót do aktywności – zazwyczaj zaleca się unikanie sportu przez 4-6 tygodni po zdjęciu gipsu

Wsparcie psychologiczne

Złamanie i unieruchomienie kończyny może być trudnym doświadczeniem dla dziecka. Ważne aspekty wsparcia psychologicznego obejmują:59

  • Wyjaśnienie dziecku w sposób dostosowany do jego wieku, co się stało i jak będzie przebiegać leczenie
  • Zapewnienie, że ból jest tymczasowy i będzie ustępował
  • Umożliwienie dziecku wyrażania emocji związanych z urazem
  • Angażowanie dziecka w proces leczenia i podejmowanie decyzji (np. wybór koloru gipsu)
  • Dostosowanie aktywności i zabaw do możliwości dziecka z unieruchomioną kończyną
  • Pomoc w utrzymaniu kontaktów społecznych i kontynuacji nauki

Po zdjęciu gipsu dzieci zazwyczaj szybciej niż dorośli odzyskują zakres ruchu i siłę mięśniową poprzez naturalne aktywności i zabawę. W niektórych przypadkach może być jednak konieczna fizjoterapia.60

Zalecenia i edukacja pacjenta po złamaniu ręki lub nadgarstka

Edukacja pacjenta jest niezbędnym elementem kompleksowego leczenia złamania ręki lub nadgarstka. Właściwe zrozumienie przez pacjenta procesu gojenia, zasad pielęgnacji i rehabilitacji przyczynia się do lepszych wyników leczenia i zmniejszenia ryzyka powikłań.61

Pielęgnacja gipsu lub szyny

Pacjent powinien zostać poinstruowany odnośnie:6263

  • Utrzymywania gipsu w suchości – podczas kąpieli należy zabezpieczyć gips wodoszczelnym materiałem (np. specjalnym pokrowcem lub plastikową torbą); nie należy zanurzać gipsu w wodzie
  • Kontroli stanu gipsu – obserwacja pod kątem pęknięć, poluzowania, nieprzyjemnego zapachu
  • Unikania wkładania przedmiotów pod gips – może to uszkodzić skórę i prowadzić do infekcji
  • Niedodawania dodatkowego wyściełania pod gips – może to spowodować zbyt ciasne dopasowanie i problemy z krążeniem

Obserwacja pod kątem powikłań

Pacjent powinien natychmiast skontaktować się z lekarzem, jeśli wystąpią:6465

  • Nasilający się ból, niewrażliwy na leki przeciwbólowe
  • Uczucie zbyt ciasnego gipsu
  • Znaczny obrzęk palców
  • Zmiana koloru palców (bladość, sinienie)
  • Drętwienie, mrowienie lub osłabienie czucia w palcach
  • Ograniczenie zdolności poruszania palcami
  • Nieprzyjemny zapach wydobywający się z gipsu (może świadczyć o infekcji)
  • Gorączka

Zlecenia dotyczące aktywności

Zalecenia odnośnie aktywności obejmują:6667

  • Unoszenie kończyny – szczególnie w pierwszych dniach po urazie, kończyna powinna być trzymana powyżej poziomu serca, aby zmniejszyć obrzęk
  • Regularny ruch palcami – o ile nie jest to przeciwwskazane, pacjent powinien regularnie poruszać palcami, aby zapobiec sztywności i utrzymać krążenie
  • Unikanie obciążania złamanej kończyny – nie należy używać ręki do podnoszenia ciężkich przedmiotów ani podpierania się
  • Stopniowy powrót do aktywności – po zdjęciu gipsu należy stopniowo zwiększać aktywność zgodnie z zaleceniami lekarza i fizjoterapeuty
  • Ograniczenia w prowadzeniu pojazdów – w zależności od złamanej kończyny i stopnia unieruchomienia, prowadzenie pojazdów może być czasowo przeciwwskazane

Powrót do pracy i aktywności sportowej

Pacjent powinien zostać poinformowany o:6869

  • Przewidywanym czasie powrotu do pracy – zależnym od rodzaju wykonywanej pracy i stopnia upośledzenia funkcji ręki; często możliwy jest stopniowy powrót do pracy lub tymczasowa zmiana obowiązków
  • Ograniczeniach w wykonywaniu czynności zawodowych – szczególnie w przypadku prac fizycznych
  • Czasie powrotu do aktywności sportowej – zazwyczaj 3-6 miesięcy po złamaniu, w zależności od rodzaju sportu i ciężkości urazu
  • Potrzebie stosowania ochraniaczy podczas powrotu do sportu

Zdrowy styl życia wspomagający gojenie

Zalecenia dotyczące stylu życia obejmują:7071

  • Odpowiednią dietę bogatą w białko, wapń, witaminę D i inne składniki odżywcze wspierające gojenie kości
  • Unikanie palenia tytoniu – nikotyna opóźnia gojenie kości
  • Ograniczenie spożycia alkoholu – alkohol może negatywnie wpływać na proces gojenia i zwiększać ryzyko upadków
  • Odpowiedni odpoczynek i sen – ważne dla ogólnego procesu zdrowienia
  • Regularne ćwiczenia zgodnie z zaleceniami fizjoterapeuty

Właściwa edukacja pacjenta nie tylko wspomaga proces leczenia, ale również zwiększa jego zaangażowanie w ten proces, co przekłada się na lepsze wyniki funkcjonalne i szybszy powrót do pełnej sprawności.72

Podsumowanie

Złamanie ręki lub nadgarstka jest jednym z najczęstszych urazów układu kostnego, wymagającym kompleksowego podejścia terapeutycznego. Leczenie, w zależności od rodzaju złamania, może być zachowawcze lub operacyjne, jednak zawsze wymaga odpowiedniego unieruchomienia, kontroli bólu i rehabilitacji. Właściwa pielęgnacja i opieka nad pacjentem ze złamaniem ręki lub nadgarstka ma kluczowe znaczenie dla procesu gojenia i zapobiegania powikłaniom.7374

Personel pielęgniarski odgrywa istotną rolę w monitorowaniu stanu pacjenta, zapobieganiu powikłaniom, łagodzeniu bólu oraz edukacji pacjenta odnośnie samoobserwacji i pielęgnacji. Szczególnie ważna jest regularna ocena stanu neurowaskularnego kończyny, dbanie o właściwe dopasowanie gipsu lub szyny oraz wczesne wykrywanie objawów wskazujących na powikłania, takie jak zespół ciasnoty przedziałów powięziowych.7576

Rehabilitacja jest integralną częścią leczenia złamań, umożliwiającą przywrócenie pełnej funkcji kończyny. Proces rehabilitacji powinien być dostosowany indywidualnie do pacjenta i rodzaju złamania, a wczesne rozpoczęcie ćwiczeń nieunieruchomionych stawów pomaga zapobiec sztywności i zanikowi mięśni.77

Edukacja pacjenta w zakresie pielęgnacji gipsu, obserwacji objawów alarmowych, zaleceń dotyczących aktywności oraz zdrowego stylu życia wspierającego gojenie jest niezbędna dla osiągnięcia optymalnych wyników leczenia.78

Większość złamań ręki lub nadgarstka goi się bez powikłań, pozwalając na powrót do pełnej sprawności. Jednakże, czas powrotu do normalnej aktywności zależy od wielu czynników, w tym wieku pacjenta, rodzaju złamania, zastosowanego leczenia oraz dyscypliny w przestrzeganiu zaleceń rehabilitacyjnych.79

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Broken Arm: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/a-to-z-guides/broken-arm
    A broken or fractured arm means that one or more of the bones of the arm have been cracked. This is a common injury occurring in both children and adults. In adults, fractures of the arm account for nearly half of all broken bones. In children, fractures of the forearm are second only to broken collarbones. […] Almost all injuries to the arm that result in a broken bone are caused in 2 ways: falls and direct trauma. […] The most important aspect of first aid is to stabilize the arm. Do this by using a towel as a sling. Place it under the arm and then around the neck. An alternate approach to keep the arm from moving is to position a rolled and taped newspaper along the swollen area and to tape it in place. […] The most important aspect of treating fractures is to determine which ones can be treated with outpatient care and which require admission to the hospital.
  • #2
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7416
    Your wrist can break, or fracture, during sports or a fall. The break may happen when your wrist is hit or is used to protect you in a fall. Fractures can range from a small, hairline crack, to a bone or bones broken into two or more pieces. Your treatment depends on how bad the break is. […] Your doctor may have put your wrist in a cast or splint. This will help keep your wrist stable until your follow-up appointment. It may take weeks or months for your wrist to heal. You can help it heal with care at home. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Put ice or a cold pack on your wrist for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake).
  • #3 Broken Wrist: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.broken-wrist-care-instructions.uf7416
    Your wrist can break, or fracture, during sports, a fall, or other accidents. The break may happen when your wrist is hit or is used to protect you in a fall. Fractures can range from a small, hairline crack, to a bone or bones broken into two or more pieces. Your treatment depends on how bad the break is. […] Your doctor may have put your wrist in a cast or splint. This will help keep your wrist stable until your follow-up appointment. It may take weeks or months for your wrist to heal. You can help it heal with care at home. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Put ice or a cold pack on your wrist for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake).
  • #4 Broken Wrist (Wrist Fracture): Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/broken-wrist-wrist-fracture
    A broken wrist, or wrist fracture, is a common injury that can affect any of the 10 bones that make up your forearm and wrist. The radius is most often affected. Falls on an outstretched hand are the most common cause of a broken wrist. You should always seek medical attention for a broken wrist to receive a proper diagnosis and treatment. […] A broken wrist, or wrist fracture can affect your radius, ulna or carpal bones. A broken wrist, or wrist fracture, can occur in any of the 10 bones that make up your forearm and wrist, including your radius, ulna and carpal bones. […] The most common broken wrist bone is the radius. Hand surgeons call this a distal radius fracture. […] Treatment for a wrist fracture depends on several factors, including: The type of fracture. The severity of your fracture. The presence of other injuries. Your age, activity level and whether it’s your dominant hand.
  • #5 Broken Wrist: Symptoms, Treatment, Recovery & Everything Else You Should KnowVisit our FacebookVisit our InstagramVisit our TwitterVisit our LinkedInclosemenuchevron-downlinkedinfacebookpinterestyoutubersstwitterinstagramfacebook-blankrss-blanklinkedin-bl
    https://ortho-surgeon.com/the-broken-wrist/
    Broken wrists, also known as distal radius fractures or Colles’ fractures, occur when one or more of the bones in a person’s wrist break or crack. This type of injury is quite common as people instinctively use their hands and wrists to break a fall, landing hard on their outstretched hand. As such, the radius or radial bone is the most frequently and commonly broken bone in the arm. […] Wrist injuries, particularly wrist fractures, are often caused by falls. When you use your hand to break a fall and you fall with all your weight onto your outstretched arm, it can result in a broken wrist. […] If you think you might have broken your wrist, it’s important that you do not delay seeing an orthopedic doctor. A delayed diagnosis can make it longer and harder for your wrist to recover. Poor healing may also lead to a decreased range of motion and grip strength.
  • #6 Broken Arm: Causes, Signs, and Treatment | The Hand Society
    https://www.assh.org/handcare/condition/broken-arm
    A broken bone is commonly known as a fracture. Any bone in the arm can be broken, but common areas for a broken arm are the wrist (specifically the distal radius), forearm bones (radius and ulna), elbow, humerus, and shoulder. […] Most of the time, a broken arm is caused by trauma. In younger people, common causes are falls from a height, sports injuries and motor vehicle accidents. In older people with weaker bones, a trip and fall from a standing height is a common cause of a broken arm. […] Generally, you should be evaluated by a health professional if your arm is: Bruised, Painful, Swollen, Difficult to move, Numb or tingly. […] Any deep cuts that might be associated with a broken bone should also be checked immediately since there is a risk of infection with broken bones that come through the skin.
  • #7 Broken Arm: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/a-to-z-guides/broken-arm
    A broken or fractured arm means that one or more of the bones of the arm have been cracked. This is a common injury occurring in both children and adults. In adults, fractures of the arm account for nearly half of all broken bones. In children, fractures of the forearm are second only to broken collarbones. […] Almost all injuries to the arm that result in a broken bone are caused in 2 ways: falls and direct trauma. […] The most important aspect of first aid is to stabilize the arm. Do this by using a towel as a sling. Place it under the arm and then around the neck. An alternate approach to keep the arm from moving is to position a rolled and taped newspaper along the swollen area and to tape it in place. […] The most important aspect of treating fractures is to determine which ones can be treated with outpatient care and which require admission to the hospital.
  • #8 Broken Arms in Children | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/broken-arm
    A broken arm is a crack or break in one or more of the bones in arm. Broken arms, also known as arm fractures, are often caused by an impact injury, such as from a fall or collision. […] A simple arm fracture is usually treated with a splint or cast, however, a complex fracture may require surgery. With proper treatment, broken arms can heal completely. Children typically regain full use of their arm within a couple weeks after their final cast is removed. […] Treatment for a broken arm depends on the specific location and severity of the break, your child’s age, overall health, and medical history. […] Splints and casts immobilize injured bones to promote healing and reduce pain and swelling. They are sometimes put on after surgical procedures to ensure that the bone is protected and in the proper alignment as it heals. […] Surgery may be needed to put broken bones back into place. A surgeon may insert metal rods or pins located inside the bone (internal fixation) or outside the body (external fixation) to hold bone fragments in place to allow alignment and healing. This is done under general anesthesia.
  • #9 Broken wrist – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/broken-wrist/diagnosis-treatment/drc-20353175
    The diagnosis of a broken wrist generally includes a physical exam of the affected hand and X-rays. […] If the broken ends of the bone aren’t aligned properly, there can be gaps between the pieces of bone or fragments might overlap. Your doctor will need to manipulate the pieces back into position, a procedure known as a reduction. […] Whatever your treatment, it’s important to move your fingers regularly while the fracture is healing to keep them from stiffening. […] Restricting the movement of a broken bone in your wrist is critical to proper healing. To do this, you’ll likely need a splint or a cast. […] To reduce pain, your doctor might recommend an over-the-counter pain reliever. […] After your cast or splint is removed, you’ll likely need rehabilitation exercises or physical therapy to reduce stiffness and restore movement in your wrist.
  • #10 Wrist Fractures: Symptoms & Causes | Broken Wrist | NewYork-Presbyterian
    https://www.nyp.org/orthopedics/columbia-orthopedics/wrist-fractures
    Distal radius fractures occur when the radius bone at the thumb side of the forearm breaks at the wrist end. […] This type of fracture may be most noticeable when your hand pinches or grabs an object. It is caused by a break in the small bone at the thumb side of the wrist. […] A more serious and rare type of fracture. A Bartons fracture is caused by landing on a bent wrist, which breaks a bone and dislocates another bone. It usually requires surgery to correct and symptoms may include numbness in the fingertips and severe swelling. […] Certain signs and symptoms of a wrist fracture are more common, including: Bruising, Swelling, Fingers may lose color, Wrist may look deformed or misshaped. […] The most common causes of wrist fractures are sudden falls. Older adults with weaker bones or low bone density are more likely to break a wrist, especially from fall-related accidents.
  • #11 Broken arm | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20310663/
    Treatment depends on the site and severity of the injury. Simple breaks might be treated with a sling and ice. Complicated fractures may require surgery. […] If you think you or your child has broken an arm, seek prompt medical attention. Its important to treat a fracture as soon as possible for proper healing. […] A more complicated break might require surgery to realign the broken bone and to implant wires, plates, nails or screws to keep the bone in place during healing. […] If you have enough pain in your arm that you cant use it normally, see a doctor right away. The same applies to your child. Delays in diagnosis and treatment of a broken arm, especially for children, who heal faster than adults do, can lead to poor healing. […] Treatment of a broken arm depends on the type of break. The time needed for healing depends on a variety of factors, including severity of the injury; other conditions, such as diabetes; your age; nutrition; and tobacco and alcohol use.
  • #12 Broken arm or wrist
    https://www.nhs.uk/conditions/broken-arm-or-wrist/
    Get medical advice as soon as possible if you think you have broken your arm or wrist. Any possible breaks need to be treated as soon as possible. […] If you think you’ve broken your arm or wrist, there are things you can do while you wait to see a doctor. […] When you get to hospital the affected arm will be placed in a splint to support it and stop any broken bones from moving out of position. You will also be given painkilling medicines for the pain. […] A plaster cast can be used to keep your arm in place until it heals. […] If you had a very bad break, surgery may be carried out to fix broken bones back into place. […] It usually takes around 6 to 8 weeks to recover from a broken arm or wrist. […] You’ll need to wear your plaster cast until the broken bone heals. […] The hospital will give you an advice sheet on exercises you should do every day to help speed up your recovery. […] Your arm or wrist may be stiff and weak after the cast is removed. A physiotherapist can help with these problems, although sometimes they can last several months or more.
  • #13 Broken Wrist (Wrist Fracture): Symptoms & Recovery Time
    https://my.clevelandclinic.org/health/diseases/broken-wrist-wrist-fracture
    The first step in treatment is making sure the broken pieces are put back into the correct position. You need to prevent them from moving out of place until they’re healed. If the bone is in the right position, your provider may just apply a cast until the bone heals. […] If the bone is out of place, your provider may need to realign the bone fragments first. This procedure is called reduction. […] A closed reduction is a nonsurgical procedure. It means your provider can straighten your bone without having to open your skin. […] An open reduction is a surgical procedure. It means your provider can’t correct the position of the broken bone through a closed reduction. […] Recovery time for a broken wrist depends on several factors, including the severity of your fracture and the method of treatment.
  • #14 Broken wrist – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/broken-wrist/diagnosis-treatment/drc-20353175
    The diagnosis of a broken wrist generally includes a physical exam of the affected hand and X-rays. […] If the broken ends of the bone aren’t aligned properly, there can be gaps between the pieces of bone or fragments might overlap. Your doctor will need to manipulate the pieces back into position, a procedure known as a reduction. […] Whatever your treatment, it’s important to move your fingers regularly while the fracture is healing to keep them from stiffening. […] Restricting the movement of a broken bone in your wrist is critical to proper healing. To do this, you’ll likely need a splint or a cast. […] To reduce pain, your doctor might recommend an over-the-counter pain reliever. […] After your cast or splint is removed, you’ll likely need rehabilitation exercises or physical therapy to reduce stiffness and restore movement in your wrist.
  • #15
  • #16 Colles wrist fracture – aftercare Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/selfcare-instructions/colles-wrist-fracture-aftercare
    A Colles wrist fracture is caused by a forceful injury to the wrist. This may occur due to: […] Having osteoporosis is a major risk factor for wrist fractures. Osteoporosis makes bones brittle, so they need less force to break. Sometimes a broken wrist is the first sign of weakening of the bones. […] You will likely get a splint to keep your wrist from moving. […] If you have a small fracture and the bone pieces do not move out of place, you will likely wear a splint for 3 to 5 weeks. Some breaks may require you to wear a cast for about 6 to 8 weeks. […] To help with pain and swelling: […] Elevate your arm or hand up above your heart. This can help reduce swelling and pain. […] Follow your provider’s instructions about elevating your wrist and using a sling. […] Exercising your fingers, elbow, and shoulder is important. It can help keep them from losing their function.
  • #17 Broken wrist – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/broken-wrist/diagnosis-treatment/drc-20353175
    You might need surgery to implant pins, plates, rods or screws to hold your bones in place while they heal. […] Even after reduction and immobilization with a cast or splint, your bones can shift. So your doctor likely will monitor your progress with X-rays. […] If the pieces of broken bone aren’t lined up properly to allow healing with immobilization, you might be referred to a doctor specializing in orthopedic surgery.
  • #18 Distal Radius Fracture: Diagnosis, Treatment, Recovery | HSS
    https://www.hss.edu/conditions_distal-radius-fractures-of-the-wrist.asp
    Casting provides external stability to the forearm and hand by the application of gentle pressure to the skin and underlying soft tissues. […] If the fracture is stable and has been successfully realigned by the reduction, casting may be the only treatment necessary. […] When surgery is necessary, there is usually a two-week window of opportunity before early bone healing begins. […] A common surgical option is ORIF (open reduction and internal fixation), in which an incision is made over the fracture on the palm side of the forearm, and internal fixation (a stainless steel or titanium plate with screws) is placed to align the bone ends and prevent displacement or loss of reduction. […] Most fractures are healed sufficiently to begin light active use of the hand by six weeks, but this will vary depending on the severity of the injury, metabolic and systemic conditions, and whether surgery was performed. […] Fractures of the distal radius are very common and modern treatment methods of casting or internal fixation lead to excellent outcomes in most cases.
  • #19 How to Treat a Broken Wrist | Raleigh Orthopaedic
    https://www.raleighortho.com/blog/hand-wrist/how-to-treat-a-broken-wrist/
    Some more severe fractures may require a small incision over the palm side of the wrist. The fragments of bone are lined up, and a metal plate and screws are used to hold things in place. The metal plate and screws allow people to start using the wrist earlier. Motion and light use of the wrist are started ~2 weeks after surgery. Once the bone has healed (~6 weeks), more vigorous activities are allowed.
  • #20 Recovering from a Distal Radius Fracture
    https://www.sports-health.com/sports-injuries/hand-and-wrist-injuries/recovering-distal-radius-fracture
    Distal radius fractures can be reset either with surgery (open reduction) or without it (closed reduction). This article discusses the recovery process for both approaches, plus the pain management tactics that can be used for all patients. […] During recovery, these pain management techniques can be used for patients: Physicians may prescribe a short course of opioid pain medications after a reduction. The prescription period will usually be brief, since opioids can cause troubling side effects and addiction. Patients can use non-steroid anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil) or naproxen (Alieve) to manage pain and inflammation. NSAIDs may cause mild side effects and should be taken as directed. Ice therapy is a simple, low-risk way to manage pain and inflammation. Icing sessions can be done for 5 to 10 minutes every hour. Patients should avoid placing ice directly onto the skin, which can cause damage.
  • #21
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7416
    Follow the splint or cast care instructions your doctor gives you. If you have a splint, do not take it off unless your doctor tells you to. […] Prop up your wrist on pillows when you sit or lie down in the first few days after the injury. Keep your wrist higher than the level of your heart. This will help reduce swelling. […] Move your fingers often to reduce swelling and stiffness, but do not use that hand to grab or carry anything. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse pain. Your hand or fingers are cool or pale or change colour. Your cast or splint feels too tight. You have tingling, weakness, or numbness in your hand or fingers. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected. You have problems with your cast or splint.
  • #22 Broken Wrist: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.broken-wrist-care-instructions.uf7416
    Follow the splint or cast care instructions your doctor gives you. If you have a splint, do not take it off unless your doctor tells you to. […] Prop up your wrist on pillows when you sit or lie down in the first few days after the injury. Keep your wrist higher than the level of your heart. This will help reduce swelling. […] Move your fingers often to reduce swelling and stiffness, but do not use that hand to grab or carry anything. […] Call your doctor now or seek immediate medical care if: You have new or worse pain. Your hand or fingers are cool or pale or change color. Your cast or splint feels too tight. You have tingling, weakness, or numbness in your hand or fingers. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected. You have problems with your cast or splint.
  • #23 Fracture: Nursing Diagnoses & Care Plans | NurseTogether
    https://www.nursetogether.com/fracture-nursing-diagnosis-care-plan/
    Fractures are broken bones. Nurses may care for patients with fractures in many settings such as emergency departments, urgent care centers, or inpatient units following surgical repairs. Fractures can be minor such as a broken toe only requiring splinting or major such as a hip, neck, or femur fracture requiring surgery, inpatient care, and months of recovery. Nurses assist with pain control, overcoming activity limitations, preventing further complications, and discharge planning. […] Nursing Diagnosis: Acute Pain […] Nursing Diagnosis: Impaired Physical Mobility […] Nursing Diagnosis: Risk For Constipation.
  • #24 Fracture Nursing Care Plans: 11 Nursing Diagnosis – Nurseslabs
    https://nurseslabs.com/fracture-nursing-care-plans/
    Make use of this in-depth nursing care plan and management roadmap to aid in the care of patients with fracture. Expand your knowledge base of nursing assessments, interventions, goal formulation, and nursing diagnoses, all customized to meet the distinct needs of patients with fracture. […] The nursing care planning goals for patients with fractures typically include pain management, promoting optimal healing and mobility, preventing further injury, and providing education and support to the patient and the family about self-care and rehabilitation. […] The following are the nursing priorities for clients with fractures: Ensure patient comfort and relief from pain, Ensure proper alignment and immobilization of the fractured area, Infection prevention, Promote early mobilization and ambulation, Promote adequate nutrition for bone healing and support, Educate the patient and the family on fracture care, rehabilitation exercises, and preventive measures, Address psychological and emotional needs, such as anxiety, fear, and frustration, related to the fracture and its impact on daily life.
  • #25 Nursing Care for Arm Fractures – Made For Medical
    https://www.madeformedical.com/nursing-care-for-arm-fracture/
    Arm fractures are common injuries that can significantly impact an individuals mobility and quality of life. As a nurse, providing thorough and comprehensive care for patients with arm fractures is essential for their recovery and overall well-being. This blog post will guide you through the key aspects of nursing care for arm fractures, including nursing assessment, nursing diagnosis, planning, and complication management, to ensure optimal patient outcomes and facilitate healing. […] A comprehensive nursing assessment is crucial for understanding the extent and nature of the arm fracture. It involves gathering relevant information about the patients medical history, the mechanism of injury, and associated symptoms. Key components of the nursing assessment for arm fractures include: […] Based on the nursing assessment findings, nurses can develop appropriate nursing diagnoses that address the specific needs and potential problems faced by individuals with arm fractures. Some common nursing diagnoses for arm fractures may include:
  • #26 Fracture Nursing Care Plans: 11 Nursing Diagnosis – Nurseslabs
    https://nurseslabs.com/fracture-nursing-care-plans/
    Nursing diagnoses provide a standardized method for recognizing, prioritizing, and addressing specific client needs and responses in relation to fractures, including both actual and high-risk problems. […] Goals and expected outcomes may include: Client will maintain the stability and alignment of fractures, Client will evidence callus formation or initial union at the fracture site, where applicable, Client will verbalize relief from pain and discomfort, Client will demonstrate an ability to engage in activities with minimal discomfort, Client will ensure timely wound healing, remain free of purulent drainage or erythema, and stay afebrile. […] Creating nursing care plans for clients with fractures, whether in a cast or traction, is based on preventing complications during healing. […] Patients who have sustained fractures are at a higher risk of falls and injury due to several factors.
  • #27
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7328
    Fractures can range from a small, hairline crack, to a bone or bones broken into two or more pieces. Your treatment depends on how bad the break is. […] Your doctor may have put your arm in a splint or cast to allow it to heal or to keep it stable until you see another doctor. It may take weeks or months for your arm to heal. You can help your arm heal with some care at home. […] Follow the cast care instructions your doctor gives you. If you have a splint, do not take it off unless your doctor tells you to. […] Prop up your arm on pillows when you sit or lie down in the first few days after the injury. Keep the arm higher than the level of your heart. This will help reduce swelling. […] Wiggle your fingers and wrist often to reduce swelling and stiffness. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse nausea or vomiting. You have new or worse pain. Your hand or fingers are cool or pale or change colour. Your cast or splint feels too tight. You have tingling, weakness, or numbness in your hand or fingers. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected. You have problems with your cast or splint.
  • #28 Broken Arm: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.broken-arm-care-instructions.uf7328
    Fractures can range from a small, hairline crack, to a bone or bones broken into two or more pieces. Your treatment depends on how bad the break is. […] Your doctor may have put your arm in a splint or cast to allow it to heal or to keep it stable until you see another doctor. It may take weeks or months for your arm to heal. You can help your arm heal with some care at home. […] Follow the cast care instructions your doctor gives you. If you have a splint, do not take it off unless your doctor tells you to. […] Prop up your arm on pillows when you sit or lie down in the first few days after the injury. Keep the arm higher than the level of your heart. This will help reduce swelling. […] Wiggle your fingers and wrist often to reduce swelling and stiffness. […] Call your doctor now or seek immediate medical care if: You have new or worse nausea or vomiting. You have new or worse pain. Your hand or fingers are cool or pale or change color. Your cast or splint feels too tight. You have tingling, weakness, or numbness in your hand or fingers. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected. You have problems with your cast or splint.
  • #29 Broken (Fractured) Arm or Shoulder | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/b/broken-fractured-arm-or-shoulder.html
    Broken arms (humerus) and broken shoulders are common injuries from falls, car accidents or other types of accidents for both adults and children. […] A loud cracking or snap is usually the first sign your arm is broken. It also may appear deformed, swollen, bruised or bleed. […] Other symptoms include extreme pain, increased pain with movement and loss of normal use of the arm. […] To slow bleeding and reduce swelling, raise the injured arm above the level of your heart. If a broken bone sticks out from the skin (open fracture), do not try to push it back in. Use a clean, dry cloth or bandage to cover it until medical help arrives. […] It is important that you not try to use the broken arm. Moving a broken arm would also cause more damage to blood vessels, nerves and other tissues.
  • #30 Fracture Nursing Care Plans: 11 Nursing Diagnosis – Nurseslabs
    https://nurseslabs.com/fracture-nursing-care-plans/
    It is important for nurses to assess and address these risk factors, through the use of assistive devices and implementation of fall prevention strategies, to ensure the safety of the patient and promote a successful recovery. […] Acute pain is a common experience for patients who have sustained fractures. […] As a nurse, it is important to effectively manage and alleviate the pain of these patients to promote comfort, prevent further complications, and aid in the healing process. […] Patients with fractures are at risk for peripheral neurovascular dysfunction due to the potential compression of the nerves and blood vessels in the affected limb. […] As a nurse, it is important to assess and monitor the patients peripheral neurovascular status, through regular evaluations and interventions such as repositioning and splinting, to prevent and manage this risk.
  • #31 Fracture Nursing Care Plans: 11 Nursing Diagnosis – Nurseslabs
    https://nurseslabs.com/fracture-nursing-care-plans/
    Patients with fractures are at risk for impaired skin integrity due to immobility and decreased physical activity, which can lead to pressure ulcers and other skin breakdown. […] As a nurse, it is important to regularly assess and monitor the patients skin, implement preventive measures such as repositioning and pressure relief, and provide appropriate wound care to maintain skin integrity and prevent further complications. […] Patients with fractures are at risk for infection due to the presence of open wounds and fractures, which can provide an entry point for bacteria and other pathogens. […] As a nurse, it is important to implement infection control measures, assess and monitor for signs of infection, and provide prompt and appropriate intervention to prevent and manage this risk.
  • #32 Broken wrist – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/broken-wrist/diagnosis-treatment/drc-20353175
    The diagnosis of a broken wrist generally includes a physical exam of the affected hand and X-rays. […] If the broken ends of the bone aren’t aligned properly, there can be gaps between the pieces of bone or fragments might overlap. Your doctor will need to manipulate the pieces back into position, a procedure known as a reduction. […] Whatever your treatment, it’s important to move your fingers regularly while the fracture is healing to keep them from stiffening. […] Restricting the movement of a broken bone in your wrist is critical to proper healing. To do this, you’ll likely need a splint or a cast. […] To reduce pain, your doctor might recommend an over-the-counter pain reliever. […] After your cast or splint is removed, you’ll likely need rehabilitation exercises or physical therapy to reduce stiffness and restore movement in your wrist.
  • #33 Guide | Physical Therapy Guide to Wrist Fracture | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-wrist-fracture
    While your bone heals, your arm will be in a cast or sling to keep it still and promote healing. During that time, it is important to ensure that your arm does not get too stiff, weak, or swollen. […] After removing your cast or sling, your wrist will most likely be stiff, and your arm will feel weak. Your physical therapist will examine your wrist and select treatments to improve its function and restore strength to your arm. […] Everything your physical therapist prescribes for you will help prevent long-term disability. They will assess your fracture and provide guidance and a program to help you: Return your arm to a strong level of fitness. Safely restore movement and strength while healing occurs. Return safely to home and work activities. Get back to sports and other physical activities. A return too early after a fracture may increase the risk of another fracture.
  • #34 Broken Arm Recovery: What to Expect as You Heal | Integrated Rehabilitation Services
    https://integrehab.com/blog/physical-therapy/broken-arm-recovery/
    As your injury starts to heal, physical therapy helps reduce and manage potential stiffness in your arm, hand and shoulder that can result from wearing a cast or sling. Physical therapy often continues once you are no longer immobilizing the arm to further improve muscle strength and joint flexibility. […] Expect 12 weeks for the broken or fractured arm to heal fully. Even with physical therapy, it can take up to two years for full strength to be restored. […] However, recovery is not always consistent or equal among patients. Certain people may find their sub-acute pain develops into a chronic condition resulting from scar tissue, nerve damage, arthritis or changes in how the brain perceives pain.
  • #35 Recovering from a Distal Radius Fracture
    https://www.sports-health.com/sports-injuries/hand-and-wrist-injuries/recovering-distal-radius-fracture
    After a closed (nonsurgical) resetting, the cast will be kept on for about 6 weeks. Patients will need to keep casts and splints dry by avoiding baths or swimming, and showering with a plastic bag covering it. If the fracture has been reset, patients may need to return for periodic X-rays to make sure the bone is healing correctly. After the cast is removed, its normal for the wrist to be stiff for 1 to 2 months. For some patients such as those who are older, have osteoarthritis, or were victims of a high energy break such as from a car accident this stiffness may last up to 2 years. Patients may still be advised to wear a soft wrist splint at night for 1 to 2 weeks after the cast is removed to stabilize the wrist and help patients sleep better. Regardless of the approach used to treat a distal radius fracture, physical therapy is essential to the recovery process. Some of the goals of physical therapy include: Learning range of motion exercises for the fingers, wrist, and forearm, Decreasing swelling and/or scarring with gentle manipulation, Strengthening the hand and wrist to restore pinch and grip motion. The wrist and arm should be functional for most activity by 8 to 10 weeks after surgery. After about 3 to 6 months, most patients can resume heavier wrist or arm activity and sports.
  • #36 7 Recovery Tips for Broken Wrist Injuries | OrthoBethesda
    https://www.orthobethesda.com/blog/seven-recovery-tips-for-broken-wrist-injuries/
    You should exercise the joints that aren’t in a cast, including your fingers and elbow. Wiggling your fingers and moving your elbow around will quicken the pace of your healing and help improve mobility. […] Always do your best to keep your cast dry. Casts are made of plaster, which water can damage. Keeping your cast dry will also prevent the growth of mold or mildew in the cast. […] After your cast is removed, physical therapy will help you regain muscle strength and increase your range of motion. Your therapist may also recommend certain exercises to help your wrist regain its full functioning. […] Keep your appointments with your doctor and get medical attention right away if you experience any of the following: Increasing pain, Persistent swelling, Numbness in your hand, fingers or wrist, Fingers that are turning pale, Any deformity at the wrist. […] At OrthoBethesda, we understand the pain you may have when you injure your wrist. Give us a call to schedule with our orthopedic doctors who specialize in treating the hand and arm. We’re fully equipped and prepared to help you treat your wrist for fast, effective pain relief and full recovery.
  • #37 Guide | Physical Therapy Guide to Wrist Fracture | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-wrist-fracture
    While your bone heals, your arm will be in a cast or sling to keep it still and promote healing. During that time, it is important to ensure that your arm does not get too stiff, weak, or swollen. […] After removing your cast or sling, your wrist will most likely be stiff, and your arm will feel weak. Your physical therapist will examine your wrist and select treatments to improve its function and restore strength to your arm. […] Everything your physical therapist prescribes for you will help prevent long-term disability. They will assess your fracture and provide guidance and a program to help you: Return your arm to a strong level of fitness. Safely restore movement and strength while healing occurs. Return safely to home and work activities. Get back to sports and other physical activities. A return too early after a fracture may increase the risk of another fracture.
  • #38 Adult Forearm Fractures – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/adult-forearm-fractures/
    Open fractures expose the bone to the outside environment. Even with good surgical cleaning of the bone and muscle, the bone can become infected. Bone infection is difficult to treat and often requires multiple surgeries and long-term antibiotics. […] Bones have a remarkable capacity to heal. Forearm bones typically take 3 to 6 months to fully heal. […] Pain after an injury or surgery is a natural part of the healing process. Your doctor and nurses will work to reduce your pain, which can help you recover faster. […] Rehabilitation typically begins after a few weeks of keeping the arm still by using a cast or brace. In many cases, a physical therapist will help with rehabilitation, beginning with gentle exercises to increase range of motion and gradually adding exercises to strengthen the arm. […] Depending on the complexity of the fracture and the stability of the repair, you may need a cast or brace for 2 to 6 weeks after surgery. You will usually begin motion exercises for the forearm, elbow, and wrist shortly after surgery. This early motion is important to prevent stiffness.
  • #39 Broken Wrist: Signs, Treatment, and Recovery
    https://www.healthline.com/health/bone-health/broken-wrist
    Your recovery time can depend on factors such as the severity of your break, your age, and your overall health. You can generally expect to wear a splint for about a week. You’ll then wear a cast for at least 6 to 8 weeks. […] It’s a good idea to make time to take care of yourself when you’re recovering from a broken wrist. You can take steps at home to help your body heal and recover. […] Most people recover from a broken wrist without any long-term complications. However, long-term complications are possible, including: nerve and blood vessel damage, permanent stiffness or pain, and osteoarthritis. […] Most people make a full recovery from a broken wrist. It might take several months, but your wrist should completely heal. If healing is slow, physical therapy and occupational therapy can help you regain mobility and strength in your wrist.
  • #40 Broken Arm Recovery: What to Expect as You Heal | Integrated Rehabilitation Services
    https://integrehab.com/blog/physical-therapy/broken-arm-recovery/
    As your injury starts to heal, physical therapy helps reduce and manage potential stiffness in your arm, hand and shoulder that can result from wearing a cast or sling. Physical therapy often continues once you are no longer immobilizing the arm to further improve muscle strength and joint flexibility. […] Expect 12 weeks for the broken or fractured arm to heal fully. Even with physical therapy, it can take up to two years for full strength to be restored. […] However, recovery is not always consistent or equal among patients. Certain people may find their sub-acute pain develops into a chronic condition resulting from scar tissue, nerve damage, arthritis or changes in how the brain perceives pain.
  • #41 Recovering from a Distal Radius Fracture
    https://www.sports-health.com/sports-injuries/hand-and-wrist-injuries/recovering-distal-radius-fracture
    After a closed (nonsurgical) resetting, the cast will be kept on for about 6 weeks. Patients will need to keep casts and splints dry by avoiding baths or swimming, and showering with a plastic bag covering it. If the fracture has been reset, patients may need to return for periodic X-rays to make sure the bone is healing correctly. After the cast is removed, its normal for the wrist to be stiff for 1 to 2 months. For some patients such as those who are older, have osteoarthritis, or were victims of a high energy break such as from a car accident this stiffness may last up to 2 years. Patients may still be advised to wear a soft wrist splint at night for 1 to 2 weeks after the cast is removed to stabilize the wrist and help patients sleep better. Regardless of the approach used to treat a distal radius fracture, physical therapy is essential to the recovery process. Some of the goals of physical therapy include: Learning range of motion exercises for the fingers, wrist, and forearm, Decreasing swelling and/or scarring with gentle manipulation, Strengthening the hand and wrist to restore pinch and grip motion. The wrist and arm should be functional for most activity by 8 to 10 weeks after surgery. After about 3 to 6 months, most patients can resume heavier wrist or arm activity and sports.
  • #42 Colles wrist fracture – aftercare Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/selfcare-instructions/colles-wrist-fracture-aftercare
    The initial recovery from a wrist fracture can take 3 to 4 months or more. You will need physical therapy. […] You should start working with a physical therapist as soon as your provider recommends. […] It can take anywhere from a few months to a year for your wrist to fully recover its function. Some people have stiffness and pain in their wrist for the rest of their life. […] After your arm is placed in a cast or splint, see your provider if: […] You cannot move your fingers because of swelling or pain.
  • #43 Recovering from a Distal Radius Fracture
    https://www.sports-health.com/sports-injuries/hand-and-wrist-injuries/recovering-distal-radius-fracture
    Possible complications of a distal radius fracture can include, but are not limited to: Malunion of the bone and continued deformity, Residual pain and stiffness, Compromised function or strength in the hand or wrist, Post-traumatic arthritis in the wrist (particularly with intra-articular fractures), Injuries to nerves, tendons, other soft tissues, Pin-site or incision infections. Most people who experience a distal radius fracture are able to recover well and return to the full scope of their former activities.
  • #44 Broken Wrist: Signs, Treatment, and Recovery
    https://www.healthline.com/health/bone-health/broken-wrist
    Your recovery time can depend on factors such as the severity of your break, your age, and your overall health. You can generally expect to wear a splint for about a week. You’ll then wear a cast for at least 6 to 8 weeks. […] It’s a good idea to make time to take care of yourself when you’re recovering from a broken wrist. You can take steps at home to help your body heal and recover. […] Most people recover from a broken wrist without any long-term complications. However, long-term complications are possible, including: nerve and blood vessel damage, permanent stiffness or pain, and osteoarthritis. […] Most people make a full recovery from a broken wrist. It might take several months, but your wrist should completely heal. If healing is slow, physical therapy and occupational therapy can help you regain mobility and strength in your wrist.
  • #45 Recovering from a Distal Radius Fracture
    https://www.sports-health.com/sports-injuries/hand-and-wrist-injuries/recovering-distal-radius-fracture
    Possible complications of a distal radius fracture can include, but are not limited to: Malunion of the bone and continued deformity, Residual pain and stiffness, Compromised function or strength in the hand or wrist, Post-traumatic arthritis in the wrist (particularly with intra-articular fractures), Injuries to nerves, tendons, other soft tissues, Pin-site or incision infections. Most people who experience a distal radius fracture are able to recover well and return to the full scope of their former activities.
  • #46 Broken Arm Facts: Types, Treatment, Healing Time & Pain Relief
    https://www.emedicinehealth.com/broken_arm/article_em.htm
    The initial evaluation by any physician, in the office or in the emergency department, begins with a thorough history and physical exam. […] The most important aspect of treating fractures is to determine which fractures can be treated with outpatient care, and which require admission to the hospital. […] Most broken arms will not require admission to the hospital. For all other fractures, the treating doctor will suggest the patient follow up with an orthopedic doctor (bone specialist). […] There are two main ways to help prevent a broken arm: Wear appropriate personal safety equipment as protection; Prevent and treat osteoporosis the disease-causing bone loss, especially in older women. […] The majority of fractures heal and normal arm movement is restored. Recovery can take six to eight weeks, while it can take a full year for the broken bone to fully heal.
  • #47 Broken Arm: Symptoms, Causes, Risk Factors & Treatment
    https://resources.healthgrades.com/right-care/bones-joints-and-muscles/broken-arm
    While a broken arm is not itself life threatening, any broken bone can become infected if not treated promptly. If you suspect a fracture, seek urgent medical care. It is better to have it checked and find out the arm isn’t broken than to delay diagnosis and treatment. […] The goal of broken arm treatment is to re-align the ends of the bones and allow them to grow back together with minimal complications or deformity. Your treatment options will depend upon your age and the severity of the break. […] The most common treatment options for a broken arm are: Arm cast, particularly for nondisplaced fractures of a single bone in the lower arm. […] If you have multiple risk factors for a broken arm, speak with your doctor about how to reduce your risks. A broken arm can be debilitating, especially for frail, disabled or elderly people. […] Some of the most common complications of a broken arm or the surgery to treat it are: Compartment syndrome, a post-fracture complication in which excessive bleeding or swelling cut off the arm’s blood supply leading to tissue death resulting in the need for amputation.
  • #48 Reddit – The heart of the internet
    https://www.reddit.com/r/nursing/comments/7yz11i/nursing_with_a_broken_arm/
    Broke my arm stepping off a curb and falling. Radial head fracture. Doc wrote return to work with a non weight bearing right arm. Any experience with one armed nursing?
  • #49 Quick Question – General Nursing Support
    https://allnurses.com/quick-question-t278285/
    Say for example you’re an RN and you have a broken arm that’s in a cast. Are you allowed to work? Or would you be sitting at home not getting paid? […] You would need doctor’s permission slip given to HR to work with full duties/partial duties along with the date you would be allowed to start in the facility where I worked. […] The biggest issue is whether or not there’s a limited-duty position available and whether the restrictions placed on you by your MD can be honored in that position. […] I would guess that you would be put on light duty… […] check with your hr department to clarify whether you’re eligible for light-duty or short-term disability. […] my facility does not have light duty, so the nurse functions at 100-percent capacity or is off-duty for short-term disability at a portion of the nurse’s salary.
  • #50 Quick Question – General Nursing Support
    https://allnurses.com/quick-question-t278285/
    One of our physio broke her wrist but was able to work with the cast on because it was her non-dominent hand. She managed fine. […] the cast itself would be a germ magnet. What if you were on full duty and got your cast soiled when cleaning up a patient? […] Depends on the facility you work for. In my hospital no nurse can be placed on light duty. You can only return to work at 100% capacity. […] We wouldn’t be allowed to work with an arm cast due to infection risk.
  • #51 Fracture care: wrist
    https://www.rch.org.au/kidsinfo/fact_sheets/Fracture_care_wrist/
    Wrist fractures are common injuries in childhood. There are two bones in the forearm the radius and the ulna. In a wrist fracture, one or both of these bones may be broken. […] Sometimes the bones may need to be put back into position by a doctor or nurse practitioner in the emergency department or operating theatre, or your child may need surgery. […] Your child will need a cast to support and protect the bones while the fracture heals. It is important to care for your childs wrist and cast correctly after you leave hospital. […] Fractures are painful. Although immobilising the arm with a cast will help to reduce the pain, additional pain relief (e.g. paracetamol) is often needed. Give the pain relief medication regularly for the first few days, following the directions on the packet, or as directed by the doctor.
  • #52 Broken Arms in Children | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/broken-arm
    A broken arm is a crack or break in one or more of the bones in arm. Broken arms, also known as arm fractures, are often caused by an impact injury, such as from a fall or collision. […] A simple arm fracture is usually treated with a splint or cast, however, a complex fracture may require surgery. With proper treatment, broken arms can heal completely. Children typically regain full use of their arm within a couple weeks after their final cast is removed. […] Treatment for a broken arm depends on the specific location and severity of the break, your child’s age, overall health, and medical history. […] Splints and casts immobilize injured bones to promote healing and reduce pain and swelling. They are sometimes put on after surgical procedures to ensure that the bone is protected and in the proper alignment as it heals. […] Surgery may be needed to put broken bones back into place. A surgeon may insert metal rods or pins located inside the bone (internal fixation) or outside the body (external fixation) to hold bone fragments in place to allow alignment and healing. This is done under general anesthesia.
  • #53 Fracture care: wrist
    https://www.rch.org.au/kidsinfo/fact_sheets/Fracture_care_wrist/
    Wrist fractures are common injuries in childhood. There are two bones in the forearm the radius and the ulna. In a wrist fracture, one or both of these bones may be broken. […] Sometimes the bones may need to be put back into position by a doctor or nurse practitioner in the emergency department or operating theatre, or your child may need surgery. […] Your child will need a cast to support and protect the bones while the fracture heals. It is important to care for your childs wrist and cast correctly after you leave hospital. […] Fractures are painful. Although immobilising the arm with a cast will help to reduce the pain, additional pain relief (e.g. paracetamol) is often needed. Give the pain relief medication regularly for the first few days, following the directions on the packet, or as directed by the doctor.
  • #54 Wrist Fracture | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/wrist-fracture
    Wrist fractures are the most commonly broken bones in the arm. Fractures of the wrist may involve several different bones including the radius and ulna the two bones of the forearm as well as the scaphoid, lunate and triquetrum three smaller carpal bones in the hand. […] The type of wrist fracture you child sustains will determine its severity, recommended treatment, and how long it will take your child to recover. […] Complex, displaced and intra-articular fractures near the wrist can be more challenging to treat and require specialized expertise from experienced physicians. […] The most common cause of a broken wrist is to fall onto an outstretched arm or to get hit on the wrist. […] Treatment for your childs wrist fracture will depend on the type of fracture, as well as the age and development of your child.
  • #55 Fracture care: wrist
    https://www.rch.org.au/kidsinfo/fact_sheets/Fracture_care_wrist/
    During the first two days and nights it is important for your child to rest and elevate their wrist above heart level to minimise swelling. From the third day, it is only necessary to elevate the wrist overnight. […] Use an arm sling for the first week, making sure the fingers are above the level of the elbow. […] Itching under the cast is common. Make sure your child avoids scratching inside the cast as this may damage the skin and cause infection. […] If your child has a plaster cast, it is important to keep the cast clean and dry. For showering or bathing, seal the cast in a plastic bag with tape or a rubber band. Never allow your child to immerse the cast in water, even if it is in a plastic bag. […] Severe pain and swelling, change in the colour of the fingers (white or blue), numbness or pins and needles, and inability to move the fingers are signs that the arm has not been elevated for long enough or that your childs cast may be too tight.
  • #56 Arm / Wrist Fracture – Childrens Fracture Clinic RBHSC
    https://childrens.fractureni.com/arm-wrist-fracture/
    The cast will need to stay on until the broken bone has healed. This usually takes a month or two, but can take longer if the break was severe. […] While the arm is in a cast: avoid putting weight or strain on the arm dont stop moving it completely, but avoid activities such as carrying anything heavy, cycling and sports. […] get medical advice if you notice changes in your skin colour, unusual sensations in the arm or wrist, signs of infection (redness, swelling or smelly discharge), severe or continuous pain, or problems with the cast (its too loose, too tight or cracked). […] The arm or wrist may be stiff and weak after the cast is removed. This is very normal. Children are able to restore a normal range of movement in their injured arm usually very quickly, however should they require additional assistance physiotherapy can be arranged.
  • #57 Fracture care: wrist
    https://www.rch.org.au/kidsinfo/fact_sheets/Fracture_care_wrist/
    Your child will usually need to have an X-ray and review five to seven days after they injure their wrist. The cast will not need to be removed for this X-ray. […] When the cast is removed, the skin may be dry and itchy. Bathe with warm water and soap, and apply a gentle, non-perfumed moisturiser. […] The wrist may be stiff when the cast first comes off, but children normally regain wrist movement and strength by using the arm for gentle activity and play. […] Your doctor will give you specific advice regarding your childs return to sport, which in most cases may be resumed four to six weeks after the cast is removed. […] In a wrist fracture, the radius and/or the ulna may be broken. […] It is important to care for your childs wrist and cast correctly. […] Your child should elevate their wrist for the first two days and nights after the injury.
  • #58 Fracture care: wrist
    https://www.rch.org.au/kidsinfo/fact_sheets/Fracture_care_wrist/
    Ensure your child avoids scratching inside the cast and do not let them push any object inside the cast. […] Seek urgent medical attention if after elevating the arm for 30 minutes your child still shows signs that the cast is too tight. […] Follow your doctors advice about returning to sport after the cast has been removed. […] Once the fractured bone has fully healed in the correct position and alignment, then there is no residual weakness of the bone. […] It may take some time for the muscles to regain their strength, if the arm has been immobilised in a cast, but once this occurs, your child will return to their normal strength and ability.
  • #59 Broken Arms in Children | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/broken-arm
    A broken arm is a crack or break in one or more of the bones in arm. Broken arms, also known as arm fractures, are often caused by an impact injury, such as from a fall or collision. […] A simple arm fracture is usually treated with a splint or cast, however, a complex fracture may require surgery. With proper treatment, broken arms can heal completely. Children typically regain full use of their arm within a couple weeks after their final cast is removed. […] Treatment for a broken arm depends on the specific location and severity of the break, your child’s age, overall health, and medical history. […] Splints and casts immobilize injured bones to promote healing and reduce pain and swelling. They are sometimes put on after surgical procedures to ensure that the bone is protected and in the proper alignment as it heals. […] Surgery may be needed to put broken bones back into place. A surgeon may insert metal rods or pins located inside the bone (internal fixation) or outside the body (external fixation) to hold bone fragments in place to allow alignment and healing. This is done under general anesthesia.
  • #60 Fracture care: wrist
    https://www.rch.org.au/kidsinfo/fact_sheets/Fracture_care_wrist/
    Your child will usually need to have an X-ray and review five to seven days after they injure their wrist. The cast will not need to be removed for this X-ray. […] When the cast is removed, the skin may be dry and itchy. Bathe with warm water and soap, and apply a gentle, non-perfumed moisturiser. […] The wrist may be stiff when the cast first comes off, but children normally regain wrist movement and strength by using the arm for gentle activity and play. […] Your doctor will give you specific advice regarding your childs return to sport, which in most cases may be resumed four to six weeks after the cast is removed. […] In a wrist fracture, the radius and/or the ulna may be broken. […] It is important to care for your childs wrist and cast correctly. […] Your child should elevate their wrist for the first two days and nights after the injury.
  • #61 Fracture Nursing Care Plans: 11 Nursing Diagnosis – Nurseslabs
    https://nurseslabs.com/fracture-nursing-care-plans/
    Patients with fractures may experience self-care deficit due to decreased physical mobility and the need for assistive devices, which can make daily activities and self-care tasks more difficult. […] As a nurse, it is important to assess the patients abilities and limitations, provide education and support on self-care techniques, and assist with tasks as needed to promote independence and prevent a self-care deficit. […] Patients who have sustained fractures may experience deficient knowledge regarding their condition, treatment, and self-care management. […] As a nurse, it is important to provide education and support to the patient and their family, addressing their questions and concerns, and ensuring they have the knowledge and skills needed for a successful recovery.
  • #62 Our knowledge of orthopaedics. Your best health.
    https://orthoinfo.aaos.org/en/recovery/care-of-casts-and-splints/
    Sometimes, it may be necessary to replace a cast as swelling goes down and the cast gets too big. As a fracture heals, the cast may be replaced by a splint to make it easier to perform physical therapy exercises. […] It is very important to keep the swelling down. This will lessen pain and help your injury heal. […] Your doctor will explain any restrictions on using your injured arm or leg while it is healing. You must follow your doctor’s instructions carefully to make sure your bone heals properly. […] After the initial swelling has subsided, proper splint or cast support will usually allow you to continue your daily activities with a minimum of inconvenience. […] Broken bones take several weeks to several months to heal. Pain usually stops long before the bone is solid enough to handle the stresses of everyday activities. You will need to wear your cast or splint until your bone is fully healed and can support itself. […] While you are wearing your cast or splint, you will likely lose muscle strength in the injured area. Exercises during the healing process and after your cast is removed are important. They will help you restore normal muscle strength, joint motion, and flexibility.
  • #63
  • #64
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7416
    Follow the splint or cast care instructions your doctor gives you. If you have a splint, do not take it off unless your doctor tells you to. […] Prop up your wrist on pillows when you sit or lie down in the first few days after the injury. Keep your wrist higher than the level of your heart. This will help reduce swelling. […] Move your fingers often to reduce swelling and stiffness, but do not use that hand to grab or carry anything. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse pain. Your hand or fingers are cool or pale or change colour. Your cast or splint feels too tight. You have tingling, weakness, or numbness in your hand or fingers. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected. You have problems with your cast or splint.
  • #65 Broken Wrist: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.broken-wrist-care-instructions.uf7416
    Follow the splint or cast care instructions your doctor gives you. If you have a splint, do not take it off unless your doctor tells you to. […] Prop up your wrist on pillows when you sit or lie down in the first few days after the injury. Keep your wrist higher than the level of your heart. This will help reduce swelling. […] Move your fingers often to reduce swelling and stiffness, but do not use that hand to grab or carry anything. […] Call your doctor now or seek immediate medical care if: You have new or worse pain. Your hand or fingers are cool or pale or change color. Your cast or splint feels too tight. You have tingling, weakness, or numbness in your hand or fingers. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected. You have problems with your cast or splint.
  • #66 Arm / Wrist Fracture – Childrens Fracture Clinic RBHSC
    https://childrens.fractureni.com/arm-wrist-fracture/
    The cast will need to stay on until the broken bone has healed. This usually takes a month or two, but can take longer if the break was severe. […] While the arm is in a cast: avoid putting weight or strain on the arm dont stop moving it completely, but avoid activities such as carrying anything heavy, cycling and sports. […] get medical advice if you notice changes in your skin colour, unusual sensations in the arm or wrist, signs of infection (redness, swelling or smelly discharge), severe or continuous pain, or problems with the cast (its too loose, too tight or cracked). […] The arm or wrist may be stiff and weak after the cast is removed. This is very normal. Children are able to restore a normal range of movement in their injured arm usually very quickly, however should they require additional assistance physiotherapy can be arranged.
  • #67 Broken wrist | Healthify
    https://healthify.nz/health-a-z/b/broken-wrist
    There are several self-care measures that you can do to help the recovery of your broken wrist. These include: taking regular pain killers if you have any pain; keeping your arm elevated on a pillow or with a sling in the first week, but after that start to let your arm be part of your everyday life again; doing gentle exercises as advised by your health providers; avoiding heavy lifting or activities that require your wrist to work hard; positioning your arm with your thumb up rather than letting your arm rest with the palm down all the time as this will help lessen stiffness later; keeping your cast dry; stopping smoking. […] Once POP is removed, request physiotherapy assessment for active exercise programme.
  • #68 Wrist fracture | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/arm-shoulder-and-hand-problems-and-conditions/wrist-fracture/
    This information is for anyone who has a wrist fracture that doesnt require surgery. […] A wrist fracture can be debilitating as you cant use your hand normally. […] There are things you can do to help your recovery after a wrist fracture. […] If your wrist function hasnt improved within 6 weeks of following this advice, its a good idea to talk to a healthcare professional about your symptoms. […] Its normal to have swelling near the fracture site. It often spreads down your arm. […] Its important that swelling is managed well to help your recovery. […] Its normal to have bruising after a fracture. […] Your return to work will depend on the type of work you do and your employer. It may be possible to discuss a phased return to work or changed duties.
  • #69 Recovering from a Distal Radius Fracture
    https://www.sports-health.com/sports-injuries/hand-and-wrist-injuries/recovering-distal-radius-fracture
    After a closed (nonsurgical) resetting, the cast will be kept on for about 6 weeks. Patients will need to keep casts and splints dry by avoiding baths or swimming, and showering with a plastic bag covering it. If the fracture has been reset, patients may need to return for periodic X-rays to make sure the bone is healing correctly. After the cast is removed, its normal for the wrist to be stiff for 1 to 2 months. For some patients such as those who are older, have osteoarthritis, or were victims of a high energy break such as from a car accident this stiffness may last up to 2 years. Patients may still be advised to wear a soft wrist splint at night for 1 to 2 weeks after the cast is removed to stabilize the wrist and help patients sleep better. Regardless of the approach used to treat a distal radius fracture, physical therapy is essential to the recovery process. Some of the goals of physical therapy include: Learning range of motion exercises for the fingers, wrist, and forearm, Decreasing swelling and/or scarring with gentle manipulation, Strengthening the hand and wrist to restore pinch and grip motion. The wrist and arm should be functional for most activity by 8 to 10 weeks after surgery. After about 3 to 6 months, most patients can resume heavier wrist or arm activity and sports.
  • #70 Wrist & Distal Radius Fracture Postoperative Protocol – Reno Orthopedic Center
    https://renoortho.com/wrist-distal-radius-fracture-postoperative-protocol/
    Wrist Distal Radius Fracture Postoperative Protocol […] You broke your wrist which is called the distal radius. […] Your wrist was fixed with a titanium plate and screws. The surgery often requires 6-10 screws depending on the fracture pattern. […] You should see your surgeon or his physician assistant 10-14 days after surgery. […] Your wound was closed with sutures and sterile dressings and a splint or cast was placed to protect your incision and bone repair until your first postoperative visit in clinic. […] You may shower immediately after surgery. […] You have been given a prescription for narcotic pain medication. […] THC and CBD products can be helpful for postoperative pain and decrease the amount of narcotics you need. […] Eat a well-balanced diet. […] Your wound has been closed with sutures or staples depending on your surgeons preference.
  • #71 Bone fractures | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/bone-fractures
    Apply a splint to support the limb. […] Use a sling to support an arm or collarbone fracture. […] Broken bones heal by themselves the aim of medical treatment is to make sure the pieces of bone are lined up correctly. […] Depending on where the fracture is and how severe, treatment may include: splints to stop movement of the broken limb, braces to support the bone, plaster cast to provide support and immobilise the bone. […] A cast made from plaster of Paris is one of the most common ways of immobilising a limb. […] After surgery, your doctor will check that you have full feeling in the area. […] Nurses will offer you pain-relieving medication. […] This temporary bone (callus) is not as strong as real bone. […] Follow your doctors advice, but general suggestions include: Rest the limb as much as possible. […] In most cases, your cast will be removed after a few weeks but you must treat the limb with care for at least the next month or so. […] You may need rehabilitation, including strengthening exercises, for a short time.
  • #72 Fracture Nursing Care Plans: 11 Nursing Diagnosis – Nurseslabs
    https://nurseslabs.com/fracture-nursing-care-plans/
    Patients with fractures may experience self-care deficit due to decreased physical mobility and the need for assistive devices, which can make daily activities and self-care tasks more difficult. […] As a nurse, it is important to assess the patients abilities and limitations, provide education and support on self-care techniques, and assist with tasks as needed to promote independence and prevent a self-care deficit. […] Patients who have sustained fractures may experience deficient knowledge regarding their condition, treatment, and self-care management. […] As a nurse, it is important to provide education and support to the patient and their family, addressing their questions and concerns, and ensuring they have the knowledge and skills needed for a successful recovery.
  • #73 Broken Arms in Children | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/broken-arm
    A broken arm is a crack or break in one or more of the bones in arm. Broken arms, also known as arm fractures, are often caused by an impact injury, such as from a fall or collision. […] A simple arm fracture is usually treated with a splint or cast, however, a complex fracture may require surgery. With proper treatment, broken arms can heal completely. Children typically regain full use of their arm within a couple weeks after their final cast is removed. […] Treatment for a broken arm depends on the specific location and severity of the break, your child’s age, overall health, and medical history. […] Splints and casts immobilize injured bones to promote healing and reduce pain and swelling. They are sometimes put on after surgical procedures to ensure that the bone is protected and in the proper alignment as it heals. […] Surgery may be needed to put broken bones back into place. A surgeon may insert metal rods or pins located inside the bone (internal fixation) or outside the body (external fixation) to hold bone fragments in place to allow alignment and healing. This is done under general anesthesia.
  • #74 Broken Wrist: Signs, Treatment, and Recovery
    https://www.healthline.com/health/bone-health/broken-wrist
    Your recovery time can depend on factors such as the severity of your break, your age, and your overall health. You can generally expect to wear a splint for about a week. You’ll then wear a cast for at least 6 to 8 weeks. […] It’s a good idea to make time to take care of yourself when you’re recovering from a broken wrist. You can take steps at home to help your body heal and recover. […] Most people recover from a broken wrist without any long-term complications. However, long-term complications are possible, including: nerve and blood vessel damage, permanent stiffness or pain, and osteoarthritis. […] Most people make a full recovery from a broken wrist. It might take several months, but your wrist should completely heal. If healing is slow, physical therapy and occupational therapy can help you regain mobility and strength in your wrist.
  • #75 Fracture Nursing Care Plans: 11 Nursing Diagnosis – Nurseslabs
    https://nurseslabs.com/fracture-nursing-care-plans/
    It is important for nurses to assess and address these risk factors, through the use of assistive devices and implementation of fall prevention strategies, to ensure the safety of the patient and promote a successful recovery. […] Acute pain is a common experience for patients who have sustained fractures. […] As a nurse, it is important to effectively manage and alleviate the pain of these patients to promote comfort, prevent further complications, and aid in the healing process. […] Patients with fractures are at risk for peripheral neurovascular dysfunction due to the potential compression of the nerves and blood vessels in the affected limb. […] As a nurse, it is important to assess and monitor the patients peripheral neurovascular status, through regular evaluations and interventions such as repositioning and splinting, to prevent and manage this risk.
  • #76 Fracture Nursing Care Plans: 11 Nursing Diagnosis – Nurseslabs
    https://nurseslabs.com/fracture-nursing-care-plans/
    Patients with fractures are at risk for impaired skin integrity due to immobility and decreased physical activity, which can lead to pressure ulcers and other skin breakdown. […] As a nurse, it is important to regularly assess and monitor the patients skin, implement preventive measures such as repositioning and pressure relief, and provide appropriate wound care to maintain skin integrity and prevent further complications. […] Patients with fractures are at risk for infection due to the presence of open wounds and fractures, which can provide an entry point for bacteria and other pathogens. […] As a nurse, it is important to implement infection control measures, assess and monitor for signs of infection, and provide prompt and appropriate intervention to prevent and manage this risk.
  • #77 Guide | Physical Therapy Guide to Wrist Fracture | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-wrist-fracture
    In addition to helping individuals prevent long-term disability following a wrist fracture, physical therapists can work with you to help you avoid another fracture in the future. […] You may want to consider: A physical therapist who is experienced in treating people with orthopedic problems. Some physical therapists have a practice with an orthopedic focus. Some even specialize in the hand, wrist, arm, or shoulder (the upper extremities).
  • #78 Fracture Nursing Care Plans: 11 Nursing Diagnosis – Nurseslabs
    https://nurseslabs.com/fracture-nursing-care-plans/
    Patients with fractures may experience self-care deficit due to decreased physical mobility and the need for assistive devices, which can make daily activities and self-care tasks more difficult. […] As a nurse, it is important to assess the patients abilities and limitations, provide education and support on self-care techniques, and assist with tasks as needed to promote independence and prevent a self-care deficit. […] Patients who have sustained fractures may experience deficient knowledge regarding their condition, treatment, and self-care management. […] As a nurse, it is important to provide education and support to the patient and their family, addressing their questions and concerns, and ensuring they have the knowledge and skills needed for a successful recovery.
  • #79 Broken Wrist: Signs, Treatment, and Recovery
    https://www.healthline.com/health/bone-health/broken-wrist
    Your recovery time can depend on factors such as the severity of your break, your age, and your overall health. You can generally expect to wear a splint for about a week. You’ll then wear a cast for at least 6 to 8 weeks. […] It’s a good idea to make time to take care of yourself when you’re recovering from a broken wrist. You can take steps at home to help your body heal and recover. […] Most people recover from a broken wrist without any long-term complications. However, long-term complications are possible, including: nerve and blood vessel damage, permanent stiffness or pain, and osteoarthritis. […] Most people make a full recovery from a broken wrist. It might take several months, but your wrist should completely heal. If healing is slow, physical therapy and occupational therapy can help you regain mobility and strength in your wrist.