Non Surgical Wrist Fracture Treatments Juneau AK

This page provides useful content and local businesses that give access to Non-Surgical Wrist Fracture Treatments in Juneau, AK. 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 Juneau, AK that will answer all of your questions about Non-Surgical Wrist Fracture Treatments.

Awesome Chiros
(888) 357-3508
2243 N Jordan Ave
Juneau, AK
Hours
Monday 24 Hours
Tuesday 24 Hours
Wednesday 24 Hours
Thursday 24 Hours
Friday 24 Hours
Saturday 24 Hours
Sunday 24 Hours
Services
Auto Accidents, Chiropractors, Personal Injury

Action Rehab LLC
(907) 790-4880
9200 Black Wolf Way
Juneau, AK
Industry
Physical Therapist

Data Provided By:
Davis Morgan Humphreys Ms Pt
(907) 523-1110
419 6th St
Juneau, AK
Industry
Physical Therapist

Data Provided By:
Chez Sante
(907) 789-8086
2841 Riverside Dr
Juneau, AK
Industry
Massage Practitioner, Personal Trainer, Physical Therapist

Data Provided By:
Frontier Therapy Serv
(907) 523-6941
9109 Mendenhall Mall Rd
Juneau, AK
 
Awesome PTz
(888) 884-8590
1200 Glacier Ave.
Juneau, AK
Hours
Monday 12:00 AM - 12:00 AM
Tuesday 12:00 AM - 12:00 AM
Wednesday 12:00 AM - 12:00 AM
Thursday 12:00 AM - 12:00 AM
Friday 12:00 AM - 12:00 AM
Saturday 12:00 AM - 12:00 AM
Sunday 12:00 AM - 12:00 AM
Services
Physical Therapists

Physical Therapy-Beth Hansen
(907) 790-4880
8800 Glacier Hwy Ste 236
Juneau, AK
Industry
Physical Therapist

Data Provided By:
Helen Phillips Licensed Massage Therapist
(907) 463-4472
418 Harris St Ste 327
Juneau, AK
Industry
Naturopathic Doctor (ND), Massage Practitioner, Physical Therapist

Data Provided By:
State PT & OT Board Div of Occup. Licensing
(907) 465-2580
333 Willoughby Avenue State Office Building 9th Floor
Juneau, AK
 
Juneau Physical Therapy
(907) 586-5951
641 West Willoughby Ave
Juneau, AK
 
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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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