Wrist Fracture

Overview

A wrist fracture is a break in one or more of the bones in the wrist, most commonly the radius (the larger of the two forearm bones). Symptoms can include pain, swelling, bruising, reduced movement, and difficulty using the hand.

Wrist fractures can vary in severity. Some are stable and treated with a cast or splint, while others may require surgery to realign and stabilise the bones. Recovery can take several weeks to months, depending on the type of fracture and treatment.

Exercises

Exercise is an important part of recovery following a wrist fracture. It helps restore movement, strength, and function. Exercises should be completed as guided by your therapist. Typically:

• 0–2 weeks (in cast):
   
1. Finger bending and straightening
    
1. Differential Tendon Glides
    
2. Thumb opposition exercises
    
3. Gentle shoulder and elbow movements to prevent stiffness
   
   
    
• 2–6 weeks (Futura splint phase – can begin weaning and range of movement from 2 weeks):
   
1. Wrist flexion and extension (within comfort) and Wrist rotation (turning palm up and down) - Passive Wrist Exercises
    
2. Continue finger and thumb exercises
    
3. Gradual weaning from splint as advised
   
   
    
• 6-12 weeks (light strengthening phase):
   
1. Light strengthening exercises as guided by your therapist
    
1. No heavy lifting until 12+ weeks
    
2. Gradual return to functional activities
    
3. Continuation of range of movement exercises
   
   
    
• 12+ weeks (progressive strengthening phase)
   
1. Return to sport tailored exercises

Splints

You will typically wear a cast for the first 2 weeks following your injury. After this, you may be fitted with a Futura splint for a further 4 weeks.

The splint provides support while allowing you to begin gentle movement. You can typically start to gradually wean from the splint from around 2 weeks, as advised by your therapist and consultant.

Post-operation

If you have had surgery for your wrist fracture, your therapist will guide you through a structured rehabilitation programme. This may include wound care, scar management, exercises, and gradual return to daily activities.

Please follow your specific post-operative advice and attend all therapy appointments to optimise your recovery.