Ulnar Styloid Fracture: Treatment and Rehabilitation at Palms Physiotherapy & Allied Health

What Is an Ulnar Styloid Fracture?

An ulnar styloid fracture is a break in the ulnar styloid process, a bony prominence at the distal (far) end of the ulna bone in the forearm, located near the wrist. This type of fracture typically occurs as a result of trauma or injury, often from a fall onto an outstretched hand, or from direct impact to the wrist or forearm. The ulnar styloid plays an important role in the wrist's stability and the proper functioning of the surrounding ligaments.

Ulnar styloid fractures are commonly associated with other wrist injuries, such as a distal radius fracture (fracture of the radius bone near the wrist). They may also occur as isolated injuries.

Symptoms of an Ulnar Styloid Fracture

The symptoms of an ulnar styloid fracture can range from mild to severe, depending on the type of fracture. Common symptoms include:

1. Pain and Tenderness

• Pain and tenderness along the wrist, particularly on the side of the ulnar styloid.

• Pain increases when attempting to move the wrist, especially with twisting or gripping motions.

2. Swelling and Bruising

• Swelling around the wrist and forearm, which may spread to the hand.

• Bruising that develops after the injury.

3. Limited Range of Motion

• Difficulty moving the wrist, particularly with rotation or bending.

• Limited ability to grasp objects or perform tasks that require wrist mobility.

4. Deformity

• In some cases, the wrist may appear deformed, with visible bulging or misalignment, especially if the fracture is displaced.

5. Numbness or Tingling

• Numbness or tingling in the hand or fingers may occur if the fracture causes pressure on nearby nerves.

Causes of an Ulnar Styloid Fracture

An ulnar styloid fracture is typically caused by significant trauma or stress on the wrist. The most common causes include:

1. Fall onto an Outstretched Hand (FOOSH)

• This is the most frequent cause of an ulnar styloid fracture, where a person lands on their outstretched hand after a fall, causing impact on the wrist.

2. Direct Trauma or Impact

• A blow to the wrist, such as in a car accident or a sports injury, can cause the ulnar styloid to fracture.

3. Sports Injuries

• High-impact or contact sports such as football, rugby, basketball, or skiing can result in injuries to the wrist, including ulnar styloid fractures.

4. Osteoporosis

• People with osteoporosis or weakened bones are at an increased risk of fractures from even low-impact injuries.

Diagnosing an Ulnar Styloid Fracture

The diagnosis of an ulnar styloid fracture involves a comprehensive assessment by a healthcare professional, including:

1. Physical Examination

• Your physiotherapist or doctor will examine the wrist for pain, swelling, deformity, and any loss of motion.

• They will also check for signs of nerve involvement or circulation issues.

2. X-rays

• X-rays are typically used to confirm the presence of a fracture and determine its type and severity. Multiple views of the wrist may be needed to get a complete picture of the injury.

3. MRI or CT Scan

• In certain cases, an MRI or CT scan may be used to assess soft tissue damage, such as ligament injury, or to get a clearer view of complex fractures.

Treatment for Ulnar Styloid Fractures at Palms Physiotherapy & Allied Health

Treatment for an ulnar styloid fracture depends on the severity of the fracture and whether any associated injuries are present. At Palms Physiotherapy & Allied Health, we provide individualized treatment options to ensure the best possible recovery.

1. Non-Surgical Treatment (For Non-Displaced Fractures)

• Immobilization: For less severe, non-displaced fractures, a wrist splint or cast may be used to immobilize the wrist and allow the bone to heal in the correct position.

• Pain Relief: Over-the-counter pain medications such as ibuprofen or acetaminophen may be recommended to help manage pain and reduce inflammation.

• Rest and Ice: Resting the wrist and applying ice can help reduce swelling and discomfort.

2. Surgical Treatment (For Displaced or Complex Fractures)

• Fracture Repair: In cases of displaced fractures or fractures with multiple fragments, surgery may be required to realign the bone and secure it in place using pins, screws, or plates.

• Fixation: In some cases, a surgical procedure to stabilize the wrist with internal fixation may be needed, especially if there are other associated injuries.

3. Physiotherapy and Rehabilitation

• Range of Motion Exercises: After the cast is removed or surgery is complete, our physiotherapists will guide you through specific exercises to restore movement in the wrist and prevent stiffness.

• Strengthening: Strengthening exercises for the wrist, forearm, and hand will be introduced gradually to help you regain normal function and reduce the risk of re-injury.

• Manual Therapy: Hands-on techniques may be used to relieve pain, improve mobility, and reduce swelling.

• Functional Training: Our physiotherapists will incorporate functional training, such as grip strengthening and coordination exercises, to ensure you can resume everyday tasks safely and effectively.

4. Occupational Therapy

• Wrist Splints and Braces: If needed, occupational therapists can provide wrist splints or braces to support the wrist during the rehabilitation process.

• Adaptive Strategies: Guidance on how to modify daily activities to reduce strain on the healing wrist and use assistive devices will help with a smoother recovery.

Recovery and Rehabilitation After an Ulnar Styloid Fracture

Recovery time varies depending on the severity of the fracture and the type of treatment. Non-displaced fractures usually heal within 6 to 8 weeks, while more complex fractures may take 3 to 6 months for full recovery.

Post-Treatment Rehabilitation

• Once the cast is removed or surgery has been completed, your rehabilitation program will include progressive exercises to regain wrist mobility, strength, and function.

• Our rehabilitation services will ensure that you regain full range of motion, reduce pain, and strengthen the wrist to prevent future injuries.

Book Your Appointment Today

If you have experienced an ulnar styloid fracture and are seeking treatment and rehabilitation, contact Palms Physiotherapy & Allied Health. Our experienced team is here to guide you through your recovery and help you return to your regular activities.

Let Palms Physiotherapy & Allied Health support you in your recovery from an ulnar styloid fracture and guide you back to optimal wrist function!