Colles Wrist Fracture, No Reduction Needed

Home care

Follow these guidelines when caring for yourself at home:

• Keep your arm elevated to reduce pain and swelling. When sitting or lying down, keep your arm above the level of your heart. You can do this by placing your arm on a pillow that rests on your chest or on a pillow at your side. This is most important during the first 2 days (48 hours) after the injury.

• Put an ice pack on the injured area. Do this for 20 minutes every 1 to 2 hours the first day. You can make an ice pack by wrapping a plastic bag of ice cubes in a thin towel. As the ice melts, make sure that the cast or splint doesn’t get wet. You can place the ice pack inside the sling and directly over the splint or cast. Continue to use the ice pack 3 to 4 times a day for the next 2 days. Then use the ice pack as needed to ease pain and swelling.

• Always keep the cast or splint completely dry. Bathe with your cast or splint out of the water. Protect it with 2 layers of plastic, such as 2 large plastic bags, rubber-banded at the top end or use tape. If a fiberglass cast or splint gets wet, you can dry it with a hair dryer on the cool setting.

• You may use acetaminophen or ibuprofen to control pain, unless another pain medicine was prescribed. If you have chronic liver or kidney disease, talk with your doctor before using these medicines. Also talk with your doctor if you’ve had a stomach ulcer, gastrointestinal bleeding, or take a blood thinner.

• Don’t put creams or objects under the cast if you have itching.

Follow-up care

Follow up with your doctor in 1 week, or as advised. This is to make sure the bone is healing the way it should. If a splint was put on, it will likely be changed to a cast during your follow-up visit.

You may have X-rays. You will be told of any new findings that may affect your care.

When to get medical advice

Call your doctor right away if:

• The cast cracks.

• The plaster cast or splint becomes wet or soft.

• The fiberglass cast or splint remains wet for more than 24 hours.

• The cast has a bad odor, or wound fluid stains the cast.

• Tightness or pain under the cast or splint gets worse.

• Your fingers become swollen, cold, blue, numb, or tingly.

• You can’t move your fingers.

• The skin near the cast becomes red or irritated.

• You have a fever of 100.4ºF (38ºC) or higher, or as directed by your doctor.

• You have shaking chills.