Fracture Management

Modern fixation techniques and rehabilitation for safe and effective fracture recovery.

Wrist & Forearm

WRIST & FOREARM

Common fractures include distal radius/ulna and scaphoid; prompt stabilisation optimises outcomes.

  • Distal radius/ulna fractures
  • Scaphoid fractures
  • Galeazzi/Monteggia patterns
Seek urgent care if: Open fracture or exposed bone • Blue/cold fingers or severe numbness • Severe deformity or compartment pain

What is it?

Breaks around the wrist/forearm from falls onto an outstretched hand; scaphoid fractures risk non-union.

Hand & Fingers

HAND & FINGERS

Metacarpal and phalangeal fractures can impair fine function if malaligned.

  • Metacarpal neck/shaft fractures
  • Phalangeal base/shaft fractures
  • Dislocations & fracture-dislocations
Seek urgent care if: Open wounds, tendon/nerve exposure • Blue/numb finger, severe rotational deformity

What is it?

Fractures affecting grip, pinch and dexterity; rotational alignment is crucial.

Shoulder & Clavicle

SHOULDER & CLAVICLE

Clavicle and proximal humerus fractures are common after falls; most can be treated conservatively.

  • Clavicle midshaft fractures
  • Proximal humerus fractures
  • Acromioclavicular injuries
Seek urgent care if: Open injury, skin tenting • Neurovascular compromise

What is it?

Fractures around the shoulder girdle affect arm function and sleep; displacement guides management.

Ankle & Foot

ANKLE & FOOT

Ankle malleolar fractures and metatarsal/stress fractures need correct alignment for gait.

  • Lateral/bi-/tri-malleolar fractures
  • 5th metatarsal (Jones) fractures
  • Stress fractures
Seek urgent care if: Open fracture, severe deformity • Blue/cold toes, severe pain out of proportion

What is it?

Fractures affecting load transfer; instability risks arthritis if untreated.

Paediatric Fractures

PAEDIATRIC FRACTURES

Unique patterns (greenstick, buckle) and growth plate (physeal) injuries require careful follow-up.

  • Buckle/greenstick fractures
  • Supracondylar humerus
  • Physeal injuries (Salter–Harris)
Seek urgent care if: Open injury, vascular compromise • Severe deformity or increasing pain

What is it?

Growing bones remodel but physeal injuries may affect growth if missed.

Fragility Fractures & Bone Health

FRAGILITY FRACTURES & BONE HEALTH

Identify osteoporosis, prevent further fractures, and coordinate secondary prevention.

  • Wrist/hip/vertebral fragility fractures
  • DEXA & FRAX risk assessment
  • Medication initiation & monitoring
Seek urgent care if: New severe back pain after minor fall • Multiple low-energy fractures

What is it?

Low-energy fractures signal reduced bone strength; secondary prevention reduces future risk.