Wrist Fracture With Rehab : Surgery

A fracture is a break, in this case a break in the patients humerus, occipital bone and 3rd Lumbar vertebral body

Dodgers’ pitcher Alex Wood had hoped to return to play soon, but the recovery process will take longer than he had hoped. Wood suffered an elbow impingement in late May, and was on the 60-day disabled list, making him eligible to potentially return to play on July 30. Unfortunately, after playing two innings of a simulated game at Dodger Stadium on July 17, it was determined that Wood’s injured elbow will require surgery. The surgery will put him out of commission for roughly eight weeks, which would put him at returning to rotation ideally in about mid-September.

A fracture is simply a broken bone. When a bone breaks, the blood vessels, muscles and nerves around the site of the break will also be damaged.

Surgery is generally indicated for patients who have displaced or unstable fractures and patients who will not tolerate cast immobilization. There is currently an increasing trend for immediate surgical fixation for both displaced and undisplaced fractures, mainly due to the short term benefits,

Post-surgery, your arm will be immobilized in a splint for at least a week. After a week you will be given an arm brace, which you will wear for most of your recovery. The brace limits your range of motion as you gradually gain it back. Physical therapy will take up to 12 months to complete. You will build up muscle in your arm and shoulder to gain strength and prevent another repeat of the injury. After therapy you will be able to throw and make your return to the diamond.

Majority of the patients that suffer with this injury have to have an open reduction internal fixation (ORIF) in order to correct the issue. The open reduction internal fixation is said to be less invasive on the bone, ligaments, muscles, and tendons, it also will relieve pain and prevent a reoccurring dislocation of the metatarsal.4 After surgery the patient is non-weight bearing for six weeks then will slowly progress to full weight bearing over a course of a couple of months. As for the rehabilitation process, the patient will most likely be in physical therapy for a long period of time. Part of the rehabilitation plan for an LFD consist of picking marbles up with the toes and placing them into a container, tracing the alphabet with the injured foot, balance exercises, and theraband exercises. One of the reason for the rehabilitation process is to regain most of the range of motion back in the ankle and foot. It also helps with rebuilding strength in the muscles of the foot and

One common injury that I am too familiar with is the jammed finger, finger jam, stubbed finger, or mallet finger as it is labeled in a few different ways. According to The Hand and Wrist Institute,

S: TM works in Front sub, he was lifting pipes when he experiencing pain in his left wrist. Most pain wit extension of his wrist. 3 to 4/10. TM denies previous injury to his left wrist.

There is tenderness with motion of the wrist. Strength is 4/5. She is tender over the first dorsal extensor compartment and has a positive Finkelstein’s test. Assessment includes internal derangement of the right wrist, status post right wrist arthroscopy and De Quervain’s tendinitis of the right wrist/thumb. Patient will benefit from an additional course of PT to enhance and restore strength and function of her right wrist. She will benefit from a thumb spica splint to allow her tendinitis to resolve. She will continue applying her Voltaren gel.

Fractures are bones injuries that crack or server a single bone or multiple bones depending on the severity of the damage. Bones can break in any part of the body from the legs to the back. These injuries happen for a number of different reasons from falls to car accidents. Some examples

Pain in the wrist, hand, or fingers is generally caused by repetitive motions, overuse, or underlying conditions like arthritis or tendonitis.

The goal of rehabilitation after hip fracture surgery is to help the patients begin moving as quickly as possible to avoid the serious complications that can happen with being immobilized in bed. In addition, it helps the patients regain hip range of motion, maximize the strength, walk without a limp, and resume the activities.

The forearm is the part of the arm between the elbow and the wrist. It is made up of two bones called the radius and the ulna. A forearm fracture is a break in one or both of these bones.

A penile fracture is a break in one of the tissue layers that line the penis when it is hardened (erect).

HISTORY OF PRESENT ILLNESS: Ruby Pearce follows up today to reevaluate her left proximal humerus fracture from a fall on July 9, 2015. She has been seen in followup on July 15, 2015 and August 5, 2015. She has been attending physical therapy, and has shown good progress and feels that she is doing well. She does continue to have some pain for which she takes pain medication, which is helpful. She notes no new injuries or limitations.