Non Surgical Wrist Fracture Treatments Menasha WI

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Habighorst Chiropractic, S.C.
(920) 659-0977
1981 Midway Rd, Ste A
Menasha, WI
Promotion
Free Consultation
Hours
Monday 12:00 PM - 9:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 12:00 PM - 9:00 PM
Thursday 9:00 AM - 6:00 PM
Friday 12:00 PM - 6:30 PM
Saturday 24 Hours
Sunday 24 Hours
Services
Applied Kinesiology, Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Holistic Chiropractic Care, Pain Management, Pediatric Chiropractic, Personal Injury

Scherer Family Chiropractic SC
(920) 725-6933
884 W Airport Rd
Menasha, WI
Industry
Physical Therapist

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Mitchell James R Md
(920) 725-0077
1516 S Commercial St
Neenah, WI
Industry
Osteopath (DO), Physical Therapist

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Orthopedic Spine Therapy
(920) 257-2005
4000 N Providence Ave
Appleton, WI
Industry
Physical Therapist

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Lakeside Packaging Plus Inc
(920) 725-8241
1040 Breezewood Ln
Neenah, WI
Industry
Physical Therapist

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Fischer Ronald D Dc CCSP
(920) 730-0611
1336 Appleton Rd
Menasha, WI
Industry
Physical Therapist

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Schubbe Resch Chiropractic & Physical Therapy Centers
(920) 720-0660
1511 S Commercial St
Neenah, WI
Industry
Physical Therapist

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Peak Performance Physical Therapy & Sports Medicine Inc.
(920) 738-0671
279 Altenhofen Dr
Appleton, WI
Industry
Physical Therapist

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Levine Jane E Np
(920) 720-8200
1136 Westowne Dr
Neenah, WI
Industry
Midwife, Osteopath (DO), Physical Therapist

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Motion Synergy Physical Therapy Llc
(920) 730-9400
345 E Wisconsin Ave
Appleton, WI
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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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