Rice

====** Broken Wrist Overview:rice **====

**How do you injure your wrist: If you fall on your wrist. It takes 5 pounds of pressure to break a wrist. You can break it many ways. You can run into a wall, get a stone and break it. You can be wrsetling and break it. Play football and someone steps on your wrist. Play hockey and someone hits you on the wrist with their stick. Play basketball and have the basketball hit your wrist.**


 * Signs and Symptoms: If you have a Broken Wrist then your wrist will look inflamed, you will have wrist pain and deformation of the area. Discoloration, heat, and limited ability to move the joint. The patient will complain about pain and the way their wrist looks. The Athletic trainer will see that the wrist may be deformed, it will look swollen. If it is really bad then they will see the bone outside the skin. **


 * Management: After the trainer looks at it he may send you to the orthepedics to get him to check it out. He will take an xray. He will look at the xray and decide if it is broken. He will decide if the patient needs surgery or not.**

**Treatment: You have to rest your arm on a soft pillow, take a pain killer like tylenol or advil, apply ice to the area, go to a doctor. Once you go to the doctor the doctor will check the wrist and take some xrays. If it is a sprain you don't always need a splint. The doctor will tell you to have limited motion on that wrist. He will then ask you to come in 10 days later to check ifthe sprain has healed. If it is a bad sprain you will be given a removable splint. The doctor will tell you when to take it off and when to keep it on. For most sprains the doctors will reccommend the patient to rest the wrist and soak it in ice. You can also have a contrast bath where for 3 minutes you use hot water and for 1 minute you use ice and repeat it until you have been doing that for 20 to 30 minutes. If the doctor sees on the xray that it is a fracture he will send you to an orthepedic surgeon. The surgeon will put a plastic cast on your wrist. The length of the cast will depend on how injured you are. The worse the fracture is the longer the cast will be. If it is bad the cast will go until it is in the middle of your humurus. If it isn't bad it will stop before your elbow. When they put it on the humurus they bend your arm at 45 degrees. You will have a sling for your cast that you are supposed to wear. If the fracture is very bad you may need surgery to repair your wrist. They will place pins on the wrist to make sure the bone will stay in place.**

**Rehab: Week 1- the surgeon will give the patient surgery if necessary. Then he will put you in a splint for two days. Then your wrist will be fully swollen and he will put a cast on your wrist and have you keep it raised in a sling. He will tell you that it will take 4-10 weeks to fully heal your wrist. Week 2- You will go to the orthepedics to have another xray. He will tell you if it has started to heal. Week 3- You will go to the orthepedics for another xray. Week 4- You will go to the orthepedics for another xray. The surgeon will change your cast. If you had a cast that went farther then your elbow then this next cast will be before the elbow. Week 5- You will still be in your cast. Week 6- You may get your cast off if the orthopedics think you are ready to go to a removable splint. He will tell you to keep the removable spint on for the majority of the day. You are still not supposed to play in any sporting activities. You will be allowed to do exercises with your wrist. Week 7- You will continue to do hand exercises. You will bend your wrist as far as you can and hold it for 10 seconds. You will do 3 sets of 10 reps. Another exercise you can do is wrist stretch. You bend your hand forward and hold it for 15 to 30 seconds and then bend your hand backwards and hold it for 15 to 30 seconds. You will have three sets of this exercise. Week 8- If you didn't get your cast off already you will get it off this week. You will start to do wrist exercises. Week 9- If you got your cast off in week 6 your doctor will look at your wrist and tell you if you are ready to go back to practice. You will continue your hand exercises when you had your cast taken off at week 8. Week 10- You will continue to be allowed to practice with your team but you aren't cleared to play a game yet. Week 11- If you had your cast off at week 8 then you will be allowed to start practicing with your team. Week 12- You will be allowed to start playing again as long as the doctor gives you a note. Week 13- You will still not be allowed to play a game if you had your cast off at week 8. Week 14- You will be allowed to start playing in a game once you have your doctor's note. After you are not injured you must protect your wrist from future injuries. You must rest for a few days so you don't reinjure the wrist and your body needs more energy. Then you must use ice to relieve short term pain relief, it limits swelling of your wrist, and never use ice more than 20 minutes straight. Then you will compress the wrist to limit swelling, you will put an ace bandage over the wrist but make sure it isn't too tight. Then then you will elevate your wrist to reduce swelling, you want to raise your wrist above your chest so you will lie on a bed and put two pillows underneath your wrist.**


 * Anatomical breakdown: The wrist has 8 carpal bones and 4 joints. Metacarpels, carpelmetacarpel joint, capitate, hamate, pisiform, triquetrum, lunate, scaphoid, trapezium, trapezoid, radius and the ulna. The muscles consist of: Carpal Muscles, Extrinsic Hand Muscles, Extensor Carpi Radialis Longus, Extensor Radialis Extensor Brevis, Extensor Carpi Ulnaris, Flexor Carpi Radialis, Flexor Carpi Ulnaris, Flexor Carpi Longus, Extensor Digitorum, Extensor Indicis, Extensor Digiti Minimi, Flexor Digitorum Superficialis, and the Flexor Digitorum Profundus. Nerves near the wrist are: Ulnar Nerve Entrapment, Radial Nerve Palsy, and the Median Nerve Entrapment. The ligaments near the wrist are: Ulnar Collateral Ligament, Radial Collateral Ligament, and the Transverse Carpel Ligament. The tendons near the wrist includes: Flexor Tendons, and the Extensor Tendons. The blood vessels include: Radial Artery, and the Ulnar Artery. **

[|****http://orthoinfo.aaos.org/topic.cfm?topic=a00412****] [|******http://arthritis.about.com/od/wrist/a/wristfractures.htm******] [|******http://www.livestrong.com/article/22825-exercises-fractured-wrist/******] [|****http://classes.kumc.edu/sah/resources/handkines/bone/wrist.html****] [|****http://moon.ouhsc.edu/dthompso/namics/handmm.htm****] [|****http://www.eorthopod.com/content/wrist-anatomy****] [] My own knowledge; I broke my wrist in 8th grade.
 * Bibliography: []**