The eight small bones and two forearm bones (the radius and the ulna) form the wrist. Although a break can occur in any one of these bones, the bone most frequently broken is the distal radius (the end of the radius closest to the wrist). (See SCAPHOID FRACTURES for a discussionof another common and different type of wrist fracture.) There are many scenarios that might lead to a broken wrist: a fall onto an outstretched hand, an accident, a sports injury. Osteoporosis can be a factor, since the weakening of the bones caused by this disorder can make the wrist more susceptible to fracture.

There will probably be pain and swelling; depending on the severity of the fracture, there may be bruising and deformity (the wrist may look crooked). However, it is not always possible to tell where the break is, or how badly fractured the wrist is, just by looking at it. Just because you can move it does not mean it is not broken. If you have any injury and any pain, it is important to see Dr. Cohen as soon as possible.

The course of treatment for a broken wrist can vary greatly depending on several factors:

• The location of the break;

• The number of fractures;

• Whether or not there is displacement (the broken pieces have moved out of alignment).

Dr. Cohen will conduct a thorough physical examination, which include x-rays. Treatment options include splinting, casting and surgery.

Dr. Cohen is well known for his conservative approach, and does not rush to surgery if non-surgical methods will lead to the proper outcome.