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What is the treatment for a hand fracture near the wrist, is a cast enough or do I need wires?
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Bone and Orthopedic Conditions
Question #30440
12 days ago
50

What is the treatment for a hand fracture near the wrist, is a cast enough or do I need wires? - #30440

Client_353cb0

Iwant to show a scan report of hand fracture near wrist. I want to understand if pop is fine or a wires are necessary to connect them

How did the fracture occur?:

- Fall or accident

When did the injury happen?:

- Less than a week ago

Have you experienced any swelling or bruising?:

- Yes, significant swelling

Are you experiencing any pain?:

- Severe pain

Have you had any previous injuries to this area?:

- No, this is the first injury

Have you had any imaging done besides the scan report?:

- X-ray

Have you seen a specialist for this injury?:

- Yes, an orthopedic doctor
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
12 days ago
5

Hello dear See pop cast may be sufficient enough in case There is no displacement Break of bone Infection Swelling Wires are required In complete fracture Osteogenesis requirement Multiple fracture Kindly share the following investigation with orthopedic surgeon X ray Wrist USG Mri Ct scan Hopefully you recover soon Regards

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Determining the best treatment for a hand fracture near the wrist really depends on a few key factors: the type, location, and severity of the fracture. In many cases, a simple fracture without much displacement can be effectively treated with a cast (or “pop” plaster of Paris cast), as this can hold the bones in the right position while they heal. This is generally less invasive and allows for effective healing in cases where the fracture is stable. However, if the fracture is more complex, like if the bones are significantly displaced or there’s a comminuted fracture (meaning the bone is in several pieces), wires (or sometimes pins) may be necessary to ensure the bones stay in the proper position during the healing process. These are typically inserted surgically and can provide more precise alignment. Surgery would generally be recommended if there’s a risk of the bones healing improperly without intervention, as this could affect function or cause long-term issues, such as arthritis or reduced range of motion. To really determine the best course of action, the scan report should be reviewed by an orthopedic specialist. They’ll be able to assess how well the bones are aligned from the images and determine if surgical intervention might be needed or if a cast would suffice. In the meantime, if you’re dealing with significant pain, loss of function, or swelling, it might be a good idea to seek [medical care](https://www.webmd.com/a-to-z-guides/fractures) right away, just to make sure nothing’s been missed and you’re receiving the best possible care.

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