A wrist fracture can happen in an instant. A fall onto an outstretched hand, a sports collision, or even a car accident can result in a break. While many people assume a wrist fracture is straightforward, the wrist is actually one of the most complex joints in the body.

At Steven Struhl, MD – Shoulders & Knees, patients in NYC and White Plains, serving Westchester County, receive expert evaluation and treatment for simple and complex wrist fractures.

Understanding the Anatomy of the Wrist

The wrist is made up of multiple bones working together to allow flexibility and strength. It includes:

  • The distal radius (the larger forearm bone)
  • The distal ulna (the smaller forearm bone)
  • Eight small carpal bones

These bones form joints that allow bending, rotation, and gripping. Because of this intricate structure, fractures can vary significantly in severity and complexity.

Common Types of Wrist Fractures

Wrist fractures are not all the same. Because the wrist is made up of multiple bones and joints working together, the type and location of a break can significantly affect both treatment and recovery. Understanding the most common wrist fractures can help explain why some injuries heal with a cast while others require surgery.

Distal Radius Fracture

This is the most common type of wrist fracture. It occurs near the end of the radius bone. These fractures often result from falls and are especially common in older adults with osteoporosis.

Some distal radius fractures are stable and can be treated with casting. Others are displaced, meaning the bone fragments have shifted out of alignment.

Scaphoid Fracture

The scaphoid is one of the small carpal bones near the base of the thumb. Scaphoid fractures often occur in younger, active individuals.

These fractures are concerning because the scaphoid has limited blood supply. Without proper treatment, healing may be delayed or incomplete.

Intra-Articular Fracture

When a fracture extends into the joint surface, it is called intra-articular. These injuries are more complex because they can disrupt the smooth cartilage surface and lead to arthritis if not properly aligned.

Comminuted Fracture

In this type of fracture, the bone breaks into multiple pieces. These injuries often require more advanced stabilization techniques.

Which Wrist Fractures Require Surgery?

Not all wrist fractures need surgery. Stable fractures that are well-aligned may heal with immobilization in a cast or brace.

However, surgery is often recommended when:

  • The bones are significantly displaced
  • The joint surface is disrupted
  • The fracture is unstable and likely to shift
  • Multiple fragments are present
  • Blood supply to the bone is compromised
  • The injury involves ligament damage

Surgical treatment may involve plates, screws, or pins to restore alignment and stability. Proper alignment is critical to preserving wrist motion and strength.

Studies show that untreated or improperly healed wrist fractures can lead to chronic pain, reduced grip strength, and early arthritis. Accurate reduction and stabilization are essential for long-term function.

Why Experience Matters in Wrist Fracture Surgery

Wrist fracture surgery requires precision. Even small misalignments can affect joint mechanics and long-term outcomes.

Dr. Steven Struhl has spent over two decades in private practice providing exceptional orthopedic treatment for professional athletes and individuals from all walks of life. His experience treating complex joint injuries has earned him a reputation as one of the top orthopedic surgeons in the country.

Dr. Struhl’s approach is patient-centric, with personalized care throughout every phase of treatment. Patients have 24-hour access to his staff, ensuring support and guidance during recovery.

Restoring Strength and Function

The goal of wrist fracture treatment is not only to heal the bone but to restore full function. Proper surgical technique, when needed, helps protect the range of motion, grip strength, and long-term joint health.

If you have suffered a wrist injury in NYC or Westchester County, timely evaluation is essential. At Steven Struhl, MD – Shoulders & Knees, we provide comprehensive care to ensure your wrist heals properly so you can return to work, sports, and daily activities with confidence.