Non Surgical Wrist Fracture Treatments Flagstaff AZ

This page provides useful content and local businesses that give access to Non-Surgical Wrist Fracture Treatments in Flagstaff, AZ. You will find helpful, informative articles about Non-Surgical Wrist Fracture Treatments, including "Wrist Fractures in the Elderly: Is Surgery Necessary?". You will also find local businesses that provide the products or services that you are looking for. Please scroll down to find the local resources in Flagstaff, AZ that will answer all of your questions about Non-Surgical Wrist Fracture Treatments.

Flagstaff Athletic Club
(928) 526-8652
3200 Country Club Dr
Flagstaff, AZ
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Physical Therapist

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Alpha & Omega Physical Therapy
(928) 522-0364
2510 E 7th Ave
Flagstaff, AZ
Industry
Physical Therapist

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Larson Rehabilitation Services
(928) 526-3031
2529 E 7th Ave
Flagstaff, AZ
Industry
Physical Therapist

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Body Shop Physical Therapy Clinic
(928) 214-7303
215 N Humphreys St
Flagstaff, AZ
Industry
Physical Therapist

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Corebalance Therapy Llc
(928) 556-9935
906 W University Ave
Flagstaff, AZ
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Physical Therapist

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Cardiac & Peripheral Vascular Specialists
(928) 213-1051
1515 E Cedar Ave
Flagstaff, AZ
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Osteopath (DO), Physical Therapist

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East Side Physical Therapy
(928) 522-8375
7810 N US Highway 89
Flagstaff, AZ
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Physical Therapist

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Flagstaff Athletic Club
(928) 779-4593
1200 W Route 66
Flagstaff, AZ
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Massage Practitioner, Physical Therapist

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Aspen Physical Therapy & Hand Rehabilitation
(928) 773-4840
401 N San Francisco St
Flagstaff, AZ
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Physical Therapist, Psychologist

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Northland-Rural Therapy Associates Llc
(928) 779-1679
125 E Elm Ave
Flagstaff, AZ
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Physical Therapist

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Wrist Fractures in the Elderly: Is Surgery Necessary?

Wrist fractures are common in older adults. In particular, distal radial fractures receive a lot of attention. The radius is one of two bones in the forearm (located on the thumb side of the forearm).

With a fall or traumatic injury, fracture at the end of the bone at the wrist can be considered unstable if the broken pieces have shifted and no longer line up as they should. Is it okay to put a cast on an unstable distal radial wrist fracture and let it heal as is? Or is surgery really needed to reset the bone perfectly?

That's the question orthopedic surgeons from the New York University Hospital for Joint Diseases asked. Their specific interest was in the older population. All patients included in the study were at least 65 years old. The average age was in the mid-70s. The goal was to compare results in patients with a distal radial fracture treated with cast immobilization to results for patients with the same diagnosis who were treated surgically.

You may wonder: doesn't putting an unstable wrist fracture in a cast cause the bone to heal crooked or with some kind of misalignment? Yes, that is exactly what happened with one group. The other group had surgery to reset the break and hold it together with a metal plate and wires or an external device and pins. Anyone with an open fracture (bone poking through the skin) was automatically placed in the surgical group.

The results were measured (before and after treatment) in several different ways. X-rays were taken. A special test of function was given called the Disabilities of the Arm, Shoulder, and Hand (DASH). Grip strength and wrist motion were measured and recorded. Pain intensity was recorded at regular intervals (at two, six, 12, 24, and 52 weeks after treatment was started).

In the end, the differences between the two groups were negligible. In other words, the differences in motion, pain, function, and strength were so small, there was no difference. Complications (e.g., nerve compression, tenosynovitis, stiffness, wrist pain) were equal between the two groups. Carpal tunnel syndrome was more of a problem in the group treated without surgery but the symptoms went away and were not permanent. Scores for the DASH test were basically the same for patients in both groups each time they were tested.

The two differences seen during follow-up didn't amount to anything significant. These included better grip strength in the group that had surgery when measured at the end of the first year. But this apparent weakness didn't seem to affect function. The X-rays showed a cleaner, more stable fracture site for the operative group. The break in the bones was set so that the surgical group had a more normal angle and length of bone. But again, the less optimal radiographic findings in the nonoperative group only translated into a small decrease in wrist motion that didn't affect function.

The researchers were careful to match patients between the two groups by age, se...

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