A distal radius fracture is one of the most common wrist and forearm injuries treated in orthopedic surgery. Often caused by a fall onto an outstretched arm, this type of break can be painful and may limit normal activities. Patients in Northeast Georgia and the Atlanta area who experience this injury need accurate diagnosis, the right treatment options, and access to a fellowship-trained hand surgeon who can restore function and promote healing.
Understanding Distal Radius Fractures
The distal radius is the part of the radius bone closest to the wrist joint. A fracture in this area occurs when the bone breaks near the wrist, often from a fall, sports injury, or accident. One of the most common patterns is a Colles fracture, where the broken bone shifts backward. Because the radius works closely with the ulna, elbow, and small joints of the wrist, this type of fracture can affect the entire arm.
Common Symptoms and Signs
Patients typically report severe pain, swelling, bruising, and tenderness around the wrist and forearm. A visible deformity may occur if the fracture is displaced. Weakness, numbness, or limited motion in the fingers are warning signs that nerves or soft tissue may also be involved. These symptoms should be evaluated quickly by a doctor to determine the extent of the injury and prevent complications.
Diagnosis and Evaluation
Doctors diagnose a distal radius fracture by combining a physical exam with imaging studies. X-rays are usually performed first to determine if the bone is displaced, how many breaks are present, and whether the ulna or small joints are involved. In some cases, CT scans help identify different types of fractures or soft tissue damage. A physician will also check for skin injury, swelling, and other symptoms that may affect the healing process.
Non-Surgical Options
Some distal radius fractures can be treated without surgery. Non-surgical options include casting, splinting, and careful monitoring with repeat X-rays. Anti-inflammatory medications may be prescribed to reduce swelling and pain. The healing process may involve several weeks of immobilization, followed by physical therapy to restore motion and strength. These approaches are most successful when the bones remain stable and aligned.
When Surgery Is Necessary
If the fracture is displaced, unstable, or involves multiple forearm bones, surgery may be required. Surgical treatment options vary depending on the severity and extent of the injury. The procedure may involve reduction (repositioning the bone) followed by fixation with plates, screws, or pins. In severe cases, external fixation devices may be used to stabilize the fracture from outside the skin. The goal of surgical repair is to restore alignment, promote healing, and help patients return to their normal activities.
Surgical Procedures for Distal Radius Fractures
Hand surgery and orthopedic surgery techniques for distal radius fractures may involve small incisions to access the bone. Plates and screws are commonly used to hold the fracture in place. External fixation may be performed when swelling or skin injuries make internal fixation difficult. Each procedure is designed to provide stability, protect soft tissue, and ensure the best possible outcome. Surgery is typically performed by a board-certified, fellowship-trained hand surgeon experienced in upper extremity injuries.
Recovery and the Healing Process
Recovery after distal radius fracture surgery varies depending on the injury and procedure performed. Most patients wear a splint or cast for the first few weeks. Rehabilitation and physical therapy are critical to restoring a full range of motion, grip strength, and wrist stability. As healing continues, exercises strengthen the wrist, palm, and forearm muscles. With consistent treatment and follow-up, patients usually regain confidence in daily activities.
Complications and Long-Term Outlook
If untreated or improperly managed, distal radius fractures can lead to deformity, chronic pain, or arthritis in the affected joint. Surgical procedures significantly reduce these risks, but infection, swelling, or delayed healing can occur. Careful monitoring, patient education, and early rehabilitation are important to prevent long-term problems. With expert treatment, patients can expect to regain motion, strength, and improved function in the wrist and fingers.
Impact on the Arm and Elbow
Although the fracture occurs near the wrist, the impact may extend up the arm and affect the elbow and shoulder. Limited wrist mobility can restrict range of motion in the upper extremity, changing the way muscles and joints work together. This is why comprehensive care for distal radius fractures considers the entire arm, not just the broken bones at the wrist.
Other Conditions Treated
In addition to distal radius fracture surgery, patients in Northeast Georgia may be treated for other hand injuries, elbow fractures, tendon repairs, and conditions such as carpal tunnel syndrome or arthritis. Our practice provides comprehensive care for the full spectrum of upper extremity injuries.
Why Choose Dr. Neustein
Dr. Thomas Neustein is a fellowship-trained, board-certified hand surgeon specializing in upper extremity surgery. His practice combines advanced orthopedic surgery techniques with compassionate, patient-centered care. Patients in Northeast Georgia and the Atlanta area trust his expertise to determine the best course of treatment and achieve lasting recovery. Whether through non-surgical options or surgical repair, his goal is to restore function and help patients return to life without pain.
Schedule Your Appointment Today
If you are experiencing pain, swelling, or limited motion after a wrist or forearm injury, do not wait to seek care. Contact our offices today to schedule an appointment with Dr. Neustein. Distal radius fracture surgery may involve surgical repair with plates, screws, or external fixation, and early treatment is critical for the best results. Schedule your appointment today to begin the healing process with expert care.
