Accelerated Recovery: A Case Report and Clinical Recommendations for Conservative Management Rehabilitation of Distal Radius Fracture

Background: Distal radius fractures are among the most prevalent upper extremity fractures, accounting for one-sixth of all fractures treated in emergency departments. They are commonly caused by falls onto an outstretched arm. These fractures represent 1.5% to 2.5% of all emergency orthopedic cases and over 18% of fractures in adults. The condition predominantly affects the elderly population. Objective: To evaluate the effectiveness of a structured rehabilitation protocol in improving pain, range of motion (ROM), strength, and hand function in a 60-year-old female patient with post-immobilization stiffness following a left distal radius fracture (DERF). Methods: A 60-year-old female diagnosed with post-fracture immobilization stiffness of the left wrist underwent physiotherapy intervention for three weeks. The rehabilitation program was formulated using the clinical practice guidelines (CPG), which focused on pain and edema management, sensory-motor training, and functional recovery. The Outcomes were measured using a numerical pain rating scale, wrist joint goniometry, resisted isometrics, and a patient-rated wrist evaluation. Results: By the end of the rehabilitation program, significant improvements in pain, edema, wrist and hand ROM, and strength were observed. The patient also exhibited enhanced hand function and could perform daily activities without discomfort. Outcome measures showed consistent improvement from baseline to discharge. Conclusion: The results of this case report suggest that a comprehensive rehabilitation protocol with specific goals and treatment plans will help to promote early recovery. It is suggested to assess the patient using outcome measures and plan a tailored made rehabilitation program to achieve the SMART goals.