Initial evaluation includes a medical history, physical examination, and x-rays
to evaluate the fracture for displacement. Physical evaluation should also include
an examination of pulse, nerve function, swelling and skin integrity. Fragments
may puncture the skin which could lead to an increased risk of infection. In some
cases a CT scan is needed to evaluate complex fractures.
Initial treatment includes the placement of a splint to the wrist, ice, and pain
medication. Further treatment is dictated by fracture pattern, age, and activity
level. Typically, nonsurgical treatment is recommended in those cases where the
fracture is stable and there is good alignment of the bones in a splint is cast.
This will then be followed with weekly X-rays to monitor for any movement. Surgical
treatment is indicated in unstable fractures or those with displacement that cannot
be reduced. If surgical treatment is indicated it is done with a plate and screws
to hold the bone in place as an outpatient procedure through a small incision. After
surgery immobilization in a splint or cast is needed for some time. Typically light
activities, such as swimming or exercising the lower body in the gym can begin within
1 to 2 months after the cast removal. More strenuous activities such as skiing or
football may be resumed after 3 to 6 months.