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    • John Christoforetti, MD, FAAOS
    • Gary Feldman, DPM, FACFAS
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Conditions Treated Hand & Wrist Hand & Wrist Fractures

Hand & Wrist Fractures

Hand and wrist fractures are common injuries that occur when enough force is exerted onto the bones, causing them to break. These fractures can result from direct blows, such as in sports injuries, falls involving an outstretched arm, or motor vehicle accidents. The wrist consists of the radius, ulna, and several smaller carpal bones, while the hand comprises the metacarpals and phalanges. Fractures in these areas, including a scaphoid fracture, can significantly impair one's ability to perform daily tasks and may require immobilization or surgery to heal properly, followed by rehabilitation to restore full function. 

Most Common Hand & Wrist Fractures

Hand and wrist fractures are common injuries that occur due to various incidents like falls, sports accidents, or workplace accidents. Below is a list of the most prevalent types of these fractures:

Scaphoid Fracture

A scaphoid fracture is a common injury involving the scaphoid bone, a small bone located near the base of the thumb. This type of fracture typically occurs as a result of a fall onto an outstretched hand, often during sports or activities involving physical impact. The scaphoid bone is crucial for wrist movement and stability, making prompt diagnosis and treatment essential for optimal recovery.

Symptoms of a scaphoid fracture include:

  • Persistent pain in the wrist, particularly on the thumb side
  • Swelling and tenderness in the wrist area
  • Difficulty gripping or holding objects, especially with the affected hand
  • Limited range of motion in the wrist joint
  • Bruising or discoloration around the wrist

If left untreated, a scaphoid fracture can lead to long-term complications such as arthritis and impaired wrist function. Therefore, it is crucial to seek medical attention promptly if you experience any of these symptoms after injuring your wrist.

Treatment for a scaphoid fracture typically involves immobilization of the wrist with a splint or cast to allow the bone to heal properly. In some cases, especially if the fracture is displaced or severe, surgery may be necessary to realign the bone fragments and stabilize the wrist. Physical therapy may also be recommended to restore strength and flexibility to the wrist joint after the initial healing period.

Boxer's Fracture

A Boxer's fracture is a specific type of fracture that occurs in one of the bones of the hand, typically the metacarpal bone of the little finger. This injury often arises from direct trauma, such as punching a hard object with a closed fist, hence its name. While commonly associated with boxing, it can occur due to various physical activities or accidents involving forceful impact to the hand.

Symptoms of a Boxer's fracture include:

  • Sudden onset of pain in the hand, particularly after striking an object
  • Swelling and bruising around the affected area
  • Difficulty moving the hand or fingers, especially when attempting to grip objects
  • Visible deformity or misalignment of the affected finger
  • Tenderness to touch, particularly along the injured bone

Treatment for a Boxer's fracture typically involves immobilization of the affected hand and finger with a splint or cast to allow the bone to heal properly. In some cases, especially if the fracture is displaced or unstable, surgery may be required to realign the bone fragments and facilitate healing. Following the initial immobilization period, physical therapy may be recommended to restore strength and function to the hand and fingers.

Delayed or inadequate treatment can lead to complications such as malunion, where the bone heals in an incorrect position, or reduced range of motion in the affected finger.

  • Peter G. Fitzgibbons, MDPeter G. Fitzgibbons, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist

Treatment for Scaphoid Fractures in Montgomery County, Maryland

Struggling with acute hand and wrist conditions such as painful scaphoid fractures? Find relief and expert care at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Our dedicated team offers effective treatments tailored to your needs. Call (301) 515-0900 or schedule your appointment online to meet with a physician at our Bethesda or Germantown locations. Regain strength and mobility with us today!

Orthopedist examining the fingers of a patient.

Other Hand & Wrist Conditions

  • Hand & Wrist Arthritis
  • Hand & Wrist Tendonitis
  • Hand & Wrist Fractures
  • Forearm Fractures
  • Hand Dislocation
  • Hand & Wrist Tendon Laceration
  • Dupuytren's Contracture
  • Trigger Finger
  • Mucous Cyst
  • Retinacular Cyst
  • Skier’s Thumb
  • Mallet Finger
  • Carpal Tunnel
  • De Quervain’s Tenosynovitis
  • Scaphoid Fracture
  • TFCC Injury 
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Explore Other Conditions We Treat

  • Hand & Wrist

    Hand & Wrist

  • Elbow

    Elbow

  • Shoulder

    Shoulder

  • Spine

    Spine

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    Hip

  • Knee

    Knee

  • Foot & Ankle

    Foot & Ankle

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6710 A Rockledge Dr., Suite 130
Bethesda, MD 20817

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19847 Century Boulevard, Suite 205
Germantown, MD 20874

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1071 Seven Locks Rd.
Rockville, MD 20854

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.