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My4beautifulboys

Broken wrist

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My4beautifulboys

Poor Ds (13) was riding his scooter and somehow managed to go over the handlebars and put his hands out to save himself. Which resulted in a nasty crash, then a lot of pain, a trip to Ed, X-ray. And a fractured wrist.
It was set in a half cast, then will be reviewed by the specialist in a weeks time, after another X-ray. 
Is it normal  to be referred to a specialist for this compared to his Gp doctor? 
The Ed doctor said the alignment was good, and didn’t think it was complicated. 
Poor Ds is finding it quite painful and uncomfortable, are breaks near the wrist usually like this? 

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SeaPrincess

DS1 broke a finger and we had to go to a specialist every week for a month or something. The bone was too small to pin, but they wanted to monitor its progress.

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Fahrook
Posted (edited)

It seems normal.  I broke my wrist 8 months ago and I also had to see the orthopaedic specialist every few weeks with x-rays.  They just want to make sure that the alignment remains correct and that the cast is keeping it in place.  I ended up having my cast changed a few times but it was all fine.  He will probably need to see a hand physio once the cast is off just to make sure the wrist gets its full function back.  

 

ETA - my wrist fully recovered and I’m on the wrong side of 40 so your 13yo DS should be fine.  Hurts a little but he  needs to take the time to let it heal and do any exercises the doctors tell him to, like wiggling his fingers.  

Edited by Fahrook
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kerilyntaryn

Yes, it's normal for all follow ups to be with the specialist, if it is too uncomfortable and painful go back

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overlytired

One of my kids had a sprained ankle that was wrapped in a half cast (plaster on the back of the leg and under the foot, held in place with a bandage – the beige elastic ones) for 10 days, waiting to see the orthopedic specialist. ER doctor said it looked like a sprain, but wanted the specialist's opinion, to be on the safe side.

Another child had a greenstick wrist fracture aged 10; it was painful but managed ok with over the counter pain meds.

I hope your DS heals quickly.

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Pearson

My DD did this exact thing, yes normal, she ended up with surgery, full cast, and it healed badly cos the specialist was an ass and had no bedside manner, rushed us through. She rebroke it 3 mths after getting cast off, as there was a weak point. ED doc told me about not healing properly & weak  point.  Complaint lodged.

It will hurt, he broke a bone, shock etc. Offer pain meds like panadol and keep arm on pillow in sleep, sling when awake, casts are heavy. If concerned on 48hrs return.

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Dianalynch

Yes, all injuries of that nature would be reviewed by an orthopaedic specialist through the outpatients clinic. 

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lozoodle

Yes its normal to go to a specialist. 

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My4beautifulboys

Thank you, I’m sure he will. The practitioner did say that there was a slight bit of angulation. But if it was a concern they would have realigned it before casting it. I’m not sure if that’s why the specialist wants to see him or not? 
From a past experience the Ortho specialist comments on what needs to be done, and the Gp doctor then re-casts after the first week, after swelling has gone down. 

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lozoodle
6 hours ago, My4beautifulboys said:

Thank you, I’m sure he will. The practitioner did say that there was a slight bit of angulation. But if it was a concern they would have realigned it before casting it. I’m not sure if that’s why the specialist wants to see him or not? 
From a past experience the Ortho specialist comments on what needs to be done, and the Gp doctor then re-casts after the first week, after swelling has gone down. 

My daughter had a mild collar bone fracture, and also a quite badly broken wrist that was realigned in theatre. Both instances required a follow up appointment at the ortho at the fracture clinic. Only difference was the time she had been to theatre with him, it was considered a "follow up" so it was free. The pathetic little collar bone fracture cost me a couple of hundred for him to say "it looks fine, just wear the sling another week or two". 

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MumsyToBigOnes
6 hours ago, My4beautifulboys said:

Thank you, I’m sure he will. The practitioner did say that there was a slight bit of angulation. But if it was a concern they would have realigned it before casting it. I’m not sure if that’s why the specialist wants to see him or not? 
From a past experience the Ortho specialist comments on what needs to be done, and the Gp doctor then re-casts after the first week, after swelling has gone down. 

No, that’s not why the Ortho wants to see him. They want to see him because it is standard practice. It’s not standard practice for a GP to do follow ups. An Ortho will not cast, they have people that do this as per their instruction but people who know what they are doing which is generally not a GP. Your past experience sounds odd unless you are in a rural setting or similar? 

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My4beautifulboys
Posted (edited)

Okay thanks, that makes sense. Yes we are in a rural setting. So from past experience most contact with the specialist doctor is done via phone conversations, to the Gp doctor. I did ask if we could have a tele health appointment, but they request that the initial  one is done, face to face. But unfortunately they have given us very little notice. 
 

ETA 

Ds had a tele health, video call appointment with the specialist. He said he was happy with the X-ray, which is good news. But he asked for the nurses in Ed to tighten the bandages on his cast. He didn’t want a new cast put on. 
I was a little puzzled,  as I understood that after the swelling subsides. Then they put in another cast. Which remains in place for the whole 6 weeks. 
Should  I see my Gp doctor, just for some clarification on that? 
 

Edited by My4beautifulboys

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My4beautifulboys

Wrist update; Eta above 

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MumsyToBigOnes

You can certainly seek clarification from your GO as to why this is the instruction but I certainly it would not think that your GP knows better than the Ortho. The 

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Kreme

Our experience of a straightforward broken wrist when DD was 12 (we are in a city area) was X-ray, half cast for a week til swelling went down, follow up appointment at hospital fracture clinic (staffed by orthopaedic specialists) which included another X-ray, recast in a full waterproof cast, return to fracture clinic after 6 weeks for final X-ray and cast removal. 
 

At no time did we consult our GP. It was all done through the public hospital. DD had some pain for the first couple of weeks which was managed with panadol. 

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MumsyToBigOnes

Kreme - it appears they are rural without routine access to a fracture clinic. However had an Ortho consult initially with subsequent follow up remotely and instruction provided for local providers. The issue seems to be the lack of understanding of the instructions which is fine and definitely should be clarified (always ask if you don’t understand), but I would not be asking the GP if they agree. 

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My4beautifulboys

Thanks Mumsyto2. Yes that’s right, we’re located remotely. I did actually phone the ortho clinic, to ask for confirmation on the specialist’s consult with us. The specialist wants ads to have another X-ray, followed by another video call later in the week. So that’ll be good to follow up with my slight concern, of half cast v’s full cast now. 

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