Page 97 - Hospital Authority Convention 2017

Masterclasses

M3.5 Recent Advances in Management of Distal Radius Fracture 13:15 Room 423 & 424

Impact of Distal Radius Fracture Rehabilitation on Patient and Hospital
Ly CYF
Physiotherapy Department, Tuen Mun Hospital, Hong Kong HOSPITAL AUTHORITY CONVENTION 2017
Fracture distal radius is one of the most common types of fractures which affects different age group. This condition has
been a concern for healthcare professionals. The most common cause of distal radius fracture in elderly and children is the
high risk of fall. However, its incidence in young adult could not be under-estimated especially in those post-menopausal
women.

Rehabilitation period depends on types of injury, different strategies used in management of fracture, as well as the age
group. Patient with osteoporotic fracture distal radius related to menopause not only need to bear the expenditure on
rehabilitation, but also need to face the challenges of re-fracture as osteoporosis renders simple fracture unstable. In elderly,
considering the longer life expectancy and more active lifestyles, the number of fracture distal radius is expected to increase.
The most common cause of fracture results from low-energy fall. Fall prevention programme in senile fragility fracture is
another challenge faced by healthcare professionals in rehabilitation setting after fracture distal radius. Children after fracture
need to undergo training to maximise their physical and functional recovery due to the fact of their high activity level. There
is an increasing number of sports related distal radius fracture in adolescent. Due to their high level of physical demand,
athletes represent a unique subset of the population. Knowledge of these entities and special consideration for the athlete
can help the medical professionals effectively treat these players and help them achieve their goals. Moreover, the prevention
of sports injury is crucial.
With the increasing incidence and medical cost on management of distal radius fracture, there is increasing impact on human
and monetary resources in hospital level. Also, it is important to analyse the preventive measures and treatment protocols for
individuals who are at a high risk of injury. A change in direction on the management approach for this group of patient may
therefore be required. Tuesday, 16 May

M3.6 Recent Advances in Management of Distal Radius Fracture 13:15 Room 423 & 424

Manage the Functional Outcome Following Distal Radius Fracture
Lau LCF
Occupational Therapy Department, Queen Elizabeth Hospital, Hong Kong

Distal radius fracture is one of the common upper limb injuries presenting to the emergency department. With proper
reduction and rigid fixation, early rehabilitation including splinting, mobilisation and functional training could begin
immediately to achieve optimal range of motion, strength and functional independence.

Literatures reported ongoing pain and disability could last for more than a year in some population with complications such
as stiffness, malunion, delayed return to work and increased incidence of subsequent fracture. Clinicians should understand
and address the potential risks including personal and environmental factors, and integrate into clinical decision on
management of wrist fractures. Secondary injury prevention for elderly patient should also be addressed.
These reported factors may prolong the rehabilitation period. Intensive and comprehensive intervention by a multi-disciplinary
team is needed for a better functional outcome.

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