A wrist fracture involves a break in one or more of the bones that make up the wrist joint. The wrist is a complex structure consisting of eight small carpal bones and the two long forearm bones, the radius and the ulna. A fracture occurs when a force applied to these bones is stronger than they can withstand, causing them to crack or break.
Can You Still Move a Fractured Wrist?
It is often possible to move a fractured wrist, even though it may seem counterintuitive. Movement can still occur, especially in cases where the bone is not completely separated or displaced. For instance, hairline fractures, which are tiny cracks in the bone, or non-displaced fractures, where the bone breaks but the pieces remain aligned, might allow some degree of motion.
Partial breaks, such as greenstick fractures more common in children where the bone bends and cracks but doesn’t break all the way through, also allow for movement. The ability to move the wrist can also depend on an individual’s pain tolerance. While movement might be limited, painful, or difficult, it is not necessarily impossible after a fracture.
Other Signs of a Wrist Fracture
Since the ability to move a wrist is not a definitive sign of a fracture, other indicators often point to a break. Immediate and severe pain, which frequently worsens with any attempt at movement or pressure, is a common symptom. The affected area will typically show noticeable swelling, often developing shortly after the injury occurs.
Bruising around the wrist is another frequent sign, indicating damage to blood vessels under the skin. The wrist may also feel tender to the touch, particularly over the site of the fracture. In some instances, a deformity might be visible, such as an obvious bend or a crooked appearance of the wrist, indicating that bones have shifted out of their normal alignment. Additionally, some individuals might experience numbness or tingling sensations in the hand or fingers if nerves have been affected by the injury.
What to Do After a Suspected Fracture
If a wrist fracture is suspected, taking immediate steps can help manage the injury before professional medical help is sought. Immobilizing the wrist is an important first action, which can be achieved by using a splint or even a rolled-up magazine taped to the arm to prevent further movement. Elevating the injured wrist above heart level can help reduce swelling and throbbing pain.
Applying ice to the affected area for 15 to 20 minutes at a time, several times a day, can further help to minimize swelling and alleviate discomfort. It is important to avoid placing ice directly on the skin; instead, wrap it in a thin cloth. Seeking prompt medical attention is crucial, as self-diagnosis or attempting to “test” the wrist further can potentially worsen the injury.
Why Medical Attention is Crucial
Seeking professional medical attention for a suspected wrist fracture is important for accurate diagnosis and proper treatment. Healthcare professionals typically use X-rays to confirm a fracture and determine its specific type and severity. In some complex cases, additional imaging, such as a CT scan or MRI, might be necessary to provide a more detailed view of the bone and surrounding tissues.
Untreated or improperly treated wrist fractures can lead to several long-term complications. These may include chronic pain, persistent stiffness that limits range of motion, and the development of arthritis in the joint. There is also a risk of permanent deformity, nerve damage, or impaired function of the hand and wrist. Proper medical intervention, which might involve casting to immobilize the bone or surgery for more complex breaks, helps ensure the bone heals correctly and reduces the likelihood of future issues.