Wrist injuries

Not all wrist fractures are treated in the same way, and x-rays should be studied in order to diagnose the type of fracture (picture ). Two weeks after the application of a plaster cast, a decision should be made regarding the success of conservative treatment. The possible development of complex regional pain syndrome (CRPS) should be borne in mind and identified. The treating physician should be able to suspect especially the following (poor management may lead to osteoarthritis): Fracture of the scaphoid bone (it is not always apparent on x-rays taken on presentation) Ligament rupture between the scaphoid and lunate bone (scapholunate dissociation) Bennett’s fracture at the base of the first metacarpal bone