Management of Non-Displaced Mid-Radius Fractures

Initial Management

The American Academy of Orthopaedic Surgeons recommends initiating immediate active finger motion exercises to prevent finger stiffness, a common complication of radius fractures, with evidence suggesting that finger motion does not adversely affect an adequately stabilized radius fracture 1, 2
The splint should be applied in a way that never obstructs full finger range of motion, as recommended by the American Academy of Orthopaedic Surgeons 1

Obtain radiographic follow-up at approximately 3 weeks to confirm maintenance of alignment and adequate healing, as suggested by Praxis Medical Insights 3
Repeat imaging at the time of immobilization removal, according to Praxis Medical Insights 3

Monitor closely for loss of reduction, as even initially non-displaced fractures can displace during the healing process, and surgical fixation becomes indicated if post-reduction displacement exceeds 3mm, as recommended by the American Academy of Orthopaedic Surgeons and Praxis Medical Insights 3, 4
Watch for complications including skin irritation and muscle atrophy, which occur in approximately 14.7% of immobilization cases, as reported by Praxis Medical Insights 3
The American Academy of Orthopaedic Surgeons advises against restricting wrist motion indefinitely after the fracture is stable, as prolonged immobilization increases stiffness risk 1, 2
Do not allow the splint to obstruct finger motion at any point during treatment, as recommended by the American Academy of Orthopaedic Surgeons 1, 2