A wrist fracture is a break in one or more of the bones in the wrist. The wrist is made up of the two bones in the forearm called the radius and the ulna. It also includes 8 carpal bones. The carpal bones lie between the end of the forearm bones and the bases of the fingers. The most commonly fractured carpal bone is called the scaphoid or navicular bone.
This fact sheet will focus on fractures of the carpal bones of the wrist. Wrist fractures of the radius, often called Colles fracture, can be found on a separate sheet.
A wrist fracture is caused by trauma to the bones in the wrist. Trauma may be caused by:
Factors that increase the chance of a wrist fracture include:
A wrist fracture may cause:
Your doctor will ask about your symptoms, physical activity, and how the injury occurred. The injured area will be examined.
Imaging tests assess the bones, surrounding structures, and soft tissues. This can be done with:
Proper treatment can prevent long-term complications or problems with the wrist. Treatment will depend on how serious the fracture is, but may include:
Extra support may be needed to protect, support, and keep the wrist in line while it heals. Supportive steps may include a splint or cast to immobilize the injury.
Some fractures cause pieces of bone to separate. The doctor will need to put these pieces back into their proper place. This may be done:
Children’s bones are still growing at an area of the bone called the growth plate. If the fracture affected the growth plate, a specialist may be needed. Injuries to the growth plate will need to be monitored to make sure the bone can continue to grow as expected.
Over-the-counter or prescription medication may be advised to reduce inflammation and pain.
To help reduce your chance of a wrist fracture:
To help reduce falling hazards at work and home, take these steps:
The American Orthopaedic Society for Sports Medicine
Ortho Info—American Academy of Orthopaedic Surgeons
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
Distal radius fractures (broken wrist). Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00412. Updated March 2013. Accessed September 1, 2017.
Distal radius fracture. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T902859/Distal-radius-fracture-emergency-management. Accessed September 1, 2017.
Scaphoid fracture. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116698/Scaphoid-fracture. Updated October 26, 2015. Accessed September 1, 2017.
Last reviewed September 2017 by EBSCO Medical Review BoardWarren A. Bodine, DO, CAQSM
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.