How to Treat Capitate Fractures: A Step-by-Step Guide
How to Treat Capitate Fractures: A Step-by-Step Guide
Treatment Insights
Capitate fractures need careful management to ensure proper healing. Discover the steps involved in treating these fractures.
Contents
- Initial Management and Care
- Duration of Immobilization
- Rehabilitation and Recovery
Initial Management and Care
Begin treatment by immobilizing the wrist with a splint or cast to reduce swelling. If swelling is significant, a sugar-tong splint is used initially, followed by a short arm cast once it subsides. This approach helps stabilize the fracture.
Duration of Immobilization
For nondisplaced fractures, immobilization in a cast typically lasts four to six weeks. During this time, follow-up appointments ensure the cast fits well and healing progresses as expected.
Rehabilitation and Recovery
After cast removal, exercises to regain wrist strength and motion are essential. A semi-rigid brace supports the wrist during this phase, and therapy may continue for three months until full function is restored.
FAQs
What is the first step in treating capitate fractures?
Immobilize the wrist with a cast or splint.
How long does a cast stay on?
Typically four to six weeks for nondisplaced fractures.
What happens after the cast is removed?
Rehabilitation exercises to restore strength and flexibility.
Do all capitate fractures need surgery?
No, nondisplaced fractures usually heal with immobilization.
Wrapping Up
Proper treatment of capitate fractures involves immobilization and gradual rehabilitation.
Additional References
- Sawardeker PJ, Baratz ME. Carpal injuries. In: DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice, 4th ed, Miller MD, Thompson SR (Eds), Elsevier Saunders, Philadelphia 2015. p.861.
- Kadar A, Morsy M, Sur YJ, et al. Capitate Fractures: A Review of 53 Patients. J Hand Surg Am 2016; 41:e359.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.