My 7 yr old had a transverse fracture through the distal third of the left radus and ulna. 20 degree dorsal angulation. He had a closed reduction and at 4 wks showed slight angulation. He is now 7 weeks post fracture and complains of wrist pain. His wrist looks a little different compared to his other arm. The fracture was not real close to his wrist but inbetween his wrist and mid forearm. He also used his shoulder now to rotate his arm instead of his elbow. Is this all common after such a fracture? He is a child who hardly ever complains. Any info would be greatly appreciated.
The most common complication of distal radius and ulna fractures is finger and shoulder stiffness. Therefore,active motion of the fingers, elbow and shoulders should be practiced. Cast immobilization is usually maintained for 3-8 weeks, depending upon fracture stability. Your son can expect the pain to gradually diminish and wrist weakness to remain for 6 to 12 months after the surgery.
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