Treatment of Salter Harris 2 Fracture of the Wrist

Initial Management

Radiography is always indicated as the initial imaging for suspected wrist trauma, with a standard 3-view examination, according to the American College of Radiology 1, 2

A short arm cast is typically used for initial immobilization, as recommended by the American College of Radiology 2
Active finger motion exercises should be performed following diagnosis to prevent stiffness, which is one of the most functionally disabling adverse effects, as suggested by the American Academy of Orthopaedic Surgeons 3
Finger motion does not adversely affect adequately stabilized fractures in terms of reduction or healing, according to the American Academy of Orthopaedic Surgeons 3

Radiographic follow-up is recommended at approximately 3 weeks and at the time of immobilization cessation to confirm adequate healing, as recommended by the American Academy of Orthopaedic Surgeons, although this specific guideline is from Praxis Medical Insights, a similar recommendation is likely from other societies 4

Stiffness of the fingers can result from prolonged immobilization, pain, swelling, or apprehension, as noted by the American Academy of Orthopaedic Surgeons 3

A home exercise program for finger motion should be implemented during the immobilization period, as suggested by the American Academy of Orthopaedic Surgeons 3