Colles’ Fracture (Distal Radius)

Etiology Most common mechanism of injury is a fall on an outstretched hand. The wrist usually lands in extension and the forearm in pronation. Facts Most common injury to the wrist May result in limited wrist flexion, extension, forearm pronation & supination ...
Before the Stitches & Staples Come Out Educate on positioning in bed and sitting. No pillows under knees. Promote stretching in prone position if tolerable (no low back pain). Provide sitting support for wheelchair - residual limb supports. Educate...

PRAFO Boot Uses

PRAFO - Pressure Relief Ankle Foot Orthosis Worn on the calf and foot similar to a boot Used for patient's who spend a significant amount of time in bed Prevents pressure ulcers from developing on the back of the...
Background on Rib Fractures Ribs protect the lungs as they contract/expand with breathing. Rib Fracture Mechanism Typically from a blow to the chest General population: motor vehicle accidents Children's bones bend easily and can often withstand breaks during a blow...

Fracture Healing Times

Upper Extremity Callus formation: 2-3 weeks Union: 4-6 weeks Lower Extremity Callus formation: 2-3 weeks Union: 8-12 weeks Union has indications for weight bearing Check for MD orders prior to mobilizing Terms: Stable: clinical union vs. Unstable Displaced: long axis does not align Open vs....
Background Typically occur from high impact sources, with potential for other medical complications. Often managed with closed treatment. Approximately 10% require surgical intervention. Injury normally takes 6-12 weeks to heal. Considerations & Concerns Avoid heavy lifting up to 6 weeks. ...
So your patient has one upper extremity, or even worse, bilateral non-weightbearing precautions, likely due to distal radius fracture(s). Does this mean OT cannot do any activities with them? Is everything not attempted for safety in your initial evaluation? In...