Diagnosis of a Broken Wrist
Diagnosis of a Broken Wrist is essential to confirm the type and extent of injury and guide the best course of treatment. The process of diagnosis of a broken wrist involves physical examination, imaging tests, and occasionally advanced scans when standard methods are inconclusive or the fracture is complex.
The first step is a clinical assessment. A healthcare provider will ask how the injury occurred, what symptoms were experienced, and whether the patient heard a snap or crack at the time of trauma. They will inspect the wrist for tenderness, deformity, and swelling, and assess the range of motion and grip strength.
If a fracture is suspected, an X-ray is the most common diagnostic tool. It reveals whether the break is displaced, stable, or involves multiple fragments. X-rays also show which bone or bones are affected — most commonly the distal radius. However, potentially also the ulna or one of the eight carpal bones.
In more complex cases, a CT (computed tomography) scan may be used to obtain a clearer, three-dimensional view. This is especially useful if surgery is being planned or if small bone fragments need to be evaluated in detail. For patients with suspected ligament or tendon involvement. An MRI (magnetic resonance imaging) scan may be ordered to assess soft tissue damage.
Sometimes, small stress fractures — especially in athletes or people with repetitive strain — may not show up on initial X-rays. In these cases, follow-up imaging or bone scans may be required if symptoms persist.
Diagnosis of a Broken Wrist
Neurovascular checks are also part of the diagnostic process. These tests determine whether nerves or blood vessels have been compromised, especially in severe or open fractures. A cold, numb, or pulseless hand requires immediate medical attention.
In South Africa, patients with access to private care typically receive quicker X-rays and specialist consultations. Those in public healthcare settings may experience delays depending on location and available resources. However, all suspected fractures should be evaluated promptly.
A fast and accurate diagnosis of a broken wrist ensures the best outcome. It helps clinicians determine whether conservative treatment is sufficient or whether surgical repair is needed to restore function.
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