The most common wrist or hand injury occurs in the wrist when people try to catch themselves during a fall and end up landing hard on an outstretched hand.
High-velocity injuries that can occur during motor vehicle crashes also may cause wrist or hand bones to fracture into many pieces, requiring surgical repair. A broken wrist or broken hand is a break or crack in one of the many bones within your wrist and hand. According to the Mayo Clinic, it's important to treat a broken wrist or broken hand as soon as possible. Otherwise, the bones may not heal in proper alignment, which can affect your ability to perform everyday activities, such as grasping a pen or buttoning a shirt. Early treatment will also help minimize pain and stiffness.
If you have a broken wrist or broken hand, you may experience these signs and symptoms:
Severe pain that tends to increase during gripping or squeezing
Swelling
Tenderness
Bruising
Obvious deformity, such as a bent wrist or crooked finger
Stiffness or inability to move your finger or thumb
Numbness or coldness in your finger or thumb
If the broken ends of the bone aren't aligned properly, your doctor will need to manipulate the pieces back into their proper positions — a process called fracture reduction. Depending on the amount of pain and swelling you have, you may need a muscle relaxant, a sedative or even a general anesthetic before this procedure. Other treatments include:
Immobilization - restricting the movement of a broken bone in your wrist or hand is critical to proper healing. To do this, you may need a splint or a cast.
Medications - to reduce pain and inflammation, your doctor may recommend an over-the-counter pain reliever, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others). If you're experiencing severe pain, you may need an opioid medication, such as codeine.
Therapy - after your cast or splint is removed, you'll likely need rehabilitation exercises or physical therapy to reduce stiffness and restore movement in your wrist and hand. Rehabilitation can help, but it may take up to several months — or even longer — for complete healing of severe injuries.
Surgical and other procedures - immobilization heals most broken bones. However, you may need surgery to implant internal fixation devices, such as plates, rods or screws, to maintain proper position of your bones during healing.