Fracture Care

Fracture Conditions We Treat

• Proximal humerus (shoulder) fractures
• Distal radius (wrist) fractures
• Acute fractures due to falls or trauma
• Fractures related to osteoporosis

Bone fractures can be very painful and may cause bruising, swelling, and loss of use in the affected area. Fractures can occur from falls, direct impact, or other traumatic injuries, and they are common across all age groups.

Prompt evaluation is important to ensure proper healing and to restore strength and function as safely and efficiently as possible.

Diagnosis

Fractures are typically diagnosed using imaging such as X-rays. In more complex cases, a CT scan may be necessary to better understand the injury and determine the most appropriate treatment approach.

Treatment Options

Non-Surgical Treatment

Many fractures can be treated without surgery when the alignment of the bone is acceptable. Non-surgical treatment may include:

• Immobilization with a cast, splint, or sling
• Activity modification to allow healing
• Gradual range-of-motion exercises as pain improves
• Physical therapy to restore strength and flexibility

Surgical Treatment

Surgery may be necessary if:

• The fracture is poorly aligned
• The bones cannot be maintained in proper position with a cast or splint
• The injury affects joint function

Surgical treatment typically involves realigning the bone and stabilizing it with plates, screws, or other fixation devices. The goal is to restore proper alignment and function while reducing the risk of long-term complications such as stiffness or arthritis.

Proximal Humerus Fracture

A proximal humerus fracture occurs in the upper portion of the arm bone near the shoulder joint. These fractures are more common with age and are often caused by a fall onto the shoulder or arm.

Symptoms may include pain, swelling, and difficulty moving the shoulder.

Because of the shoulder's natural range of motion, perfect alignment is not always required, and many of these fractures can be treated without surgery. Healing typically occurs within 6 to 8 weeks, although full recovery may take 3 to 4 months.

Proximal humerus fractures can also be associated with osteoporosis. Patients may be advised to follow up with their primary care physician for evaluation and management of bone health.

Distal Radius (Wrist) Fracture

The distal radius is the larger of the two bones in the forearm near the wrist. Fractures in this area are among the most common and are often caused by a fall onto an outstretched hand.

Symptoms may include pain, swelling, and, in some cases, visible deformity.

Many distal radius fractures can be treated without surgery if the bone alignment is acceptable or can be corrected through manipulation. Treatment typically involves immobilization with a splint or cast for approximately 6 to 8 weeks.

Surgery may be required if the fracture is unstable or cannot be maintained in proper alignment. In these cases, the bone is stabilized using plates or screws to restore function and reduce the risk of long-term complications.

While most patients return to normal activities, stiffness in the wrist or fingers is a common part of recovery and may require physical therapy.

Like other fractures, distal radius fractures may be associated with osteoporosis, and further evaluation may be recommended.

Recovery & Rehabilitation

Recovery timelines vary depending on the type and severity of the fracture. Most patients begin gentle movement as pain improves, followed by strengthening and rehabilitation. Physical therapy may be recommended to:

• Restore range of motion
• Improve strength and stability
• Support a safe return to daily activities

Frequently Asked Questions