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Dr. Albert Pardo Pol

Hand and wrist fractures

Scaphoid, distal radius, metacarpal and finger fractures. Treatment to restore movement and function.

Wrist fracture treatment with plate and screw fixation

Fractures of the hand and wrist are among the most common musculoskeletal injuries. They may result from falls, sporting trauma or workplace accidents. Appropriate treatment is essential to restore anatomy and prevent long-term functional problems.

Most common fracture types

Symptoms

  • Immediate and severe pain following the injury
  • Swelling and bruising in the affected area
  • Visible deformity in displaced fractures
  • Inability or difficulty moving the fingers or wrist

When to seek urgent assessment

Urgent assessment is needed when there is visible deformity, an open wound, loss of sensation, cold or pale fingers, or severe pain despite immobilisation. Remove rings, elevate the hand and do not attempt to straighten a deformity before medical assessment.

Diagnosis

Plain radiographs confirm the majority of fractures. In complex cases or suspected scaphoid fractures, a CT scan or MRI may be required to assess displacement and plan the most appropriate treatment.

Non-surgical treatment

Stable, non-displaced fractures can be managed with immobilisation (plaster cast or splint) for four to six weeks. Regular radiographic checks are carried out to ensure proper bone healing.

Surgical treatment

Displaced, unstable or intra-articular fractures require surgery to restore normal anatomy. Plates, screws, wires or external fixators may be used depending on the fracture pattern. Surgical fixation allows earlier mobilisation and improved functional outcomes.

Recovery

Recovery time varies according to the type of fracture: from four weeks for simple phalangeal fractures to up to three months for complex wrist fractures. Rehabilitation is essential to regain full range of motion and strength.

Preparing for your appointment

English-speaking consultations are available in Barcelona and Vic. If possible, bring previous X-rays or scans, medical reports, a medication list and details of your insurer. New imaging can be arranged when clinically needed.

Do these symptoms sound familiar, or do you need to confirm the diagnosis?

Book an appointment to assess your case and understand the available treatment options.

Frequently asked questions

How long does a scaphoid fracture take to heal?
Scaphoid fracture healing varies between eight and twelve weeks with immobilisation, and between six and ten weeks if surgically fixed with a compression screw. Radiographic follow-up is important because the scaphoid carries a high risk of non-union.
Can you move your hand with a broken wrist?
It is generally not advisable. Pain and swelling limit movement. It is important to immobilise the wrist and attend an emergency department for radiographic assessment and to determine the appropriate treatment.

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