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As the title, had a nasty crash whilst riding today and went down very hard on my left hand. Knuckles cut and bruised through my gloves and wrist is pretty sore. I have some movement, but not very much, and some swelling though it's not a balloon. It hurts to push in the middle of the back of my hand and also by the inside edge of my wrist by the base of my thumb. Like a lot, and I can't twist or push with my hand. I'm loathed to go to a&e to waste their time for what could be a sprain..soon, armchair doctors assemble. Anyone broken their wrist?
Broken three and they didn't hurt very much
You have three wrists?! 😉 I was hoping you'd tell me it was agony
When I broke my wrist a couple of years ago I thought it just a sprain - finished the ride and drove home. It was when I went to eat a baked potato and realised I couldn't use a fork I thought something up. Adrenaline is an amazing pain killer.
Went to hospital and turned out I had broke ALL the bones in my wrist.
For me the real pain came in the following days - even bashing the stookie off a cushion would cause eye watering amounts of pain.
Take yourself off to the walking wounded clinic to get checked out.
If you think it might be broken go to a&e
Best to get it checked.
Base of the thumb could be a scaphoid, which almost always needs treatment because it won't fix on its own.
Google it for something to read while at a&e.
I broke the wrist-ends of my radius and ulna once, didn't hurt much, more of an ache really. Could still move things pretty well and wasn't sure it was broken. As I was a kid my mum dragged me to A and E anyway, kicked off until they x-rayed me, and it turned out to be two fractures. I'd get it checked out if you've got any doubts.
painful.
particularly after the adrenaline wore off, then there was a further 40hr wait for surgery with my arm swinging about from a hook and not near enough pain meds.
surgery, plate, screws
to be fair, you could see how broken it was, there was an s bend in my forearm
A bit sore at the time but 8 years on with repeated falls and tumbles its freeking agony. I basically struggle to move it much these days and if I so much as jar it even slightly its eye watering. 2 separate visits to consultants and they've both just told me I will have to manage it somehow as there's nothing they can do. Makes me wonder if I'd had it looked at when I first did it would I be going through this now??
SCRUFF9252. What's a stookie? Serious question
I suspect that I broke mine last year. I did nothing about it though as a pot on the arm would have ruined my holiday 😳
Hurt like a bastard for a few weeks and movement has been limited, but getting better in recent months. Still can't separate two pieces of paper using my fore finger and thumb.
Couple of years ago i came off and broke :oops:my wrist...didn't hurt that much and it was only when i was home for a while i figured it didn't seem 'right' so popped down to my MIU (Been consistently impressed with the two (Caterham & Horsham) i seem to regularly end up at 😳 ) who confirmed the bad news. Id get down MIU (or A&E if MIU is closed) if i were you
Broke mine years ago. After probably re-breaking it a few times and a few trips to the gp to be told it was a strain I eventually had it x-rayed and diagnosed. Was recommended for surgery probably 6 years after the break but when they cut me open the surgeon decided it was now fixed so I just have a funky scar. Didn't really hurt much at any point, just uncomfortable.
These days I go to the minor injuries unit. They seem happy to do x rays with hopefully minimal strain on the nhs.
My mate fell off on Saturday and hurt his wrist.
Finally went to A&E on Sunday to be told he had broken it and got a wrist cast. No driving g for four weeks.
He has to go back tomorrow for further x-rays and discuss possible surgery, but will need a cast above the elbow regardless.
Yes, this is the guy who clipped the wing mirror of a parked car on his way to a velodrome session. I'm being very sympathetic. Though I'm not sure I trust him to bring up my god children. 😉
crapjumper - MemberSCRUFF9252. What's a stookie? Serious question
A stookie is a plaster cast.
I've broken 2. Both times I found at first not too painful. First one I road out of Gisburn Forest and drove home before getting too concerned.
Second one I rode down a big hill, and then the next day scrambled up a big hill before finally thinking it needed sorting.
However not getting them checked apparently made things worse....
Get it checked asap
Pretty much every time I've broken a bone, people have come out with homespun wisdom along the lines of "It can't be broken, it obviously doesn't hurt that much". Get it checked! If I'd got my hand checked when I broke it, they'd have fixed it and it'd have healed straight instead of all wonky and scrapey.
(disclaimer- the time I actually got it diagnosed as broken, turned out to be the third time I'd broken a hand- they did an xray of the "unbroken" hand for a comparison and found 2 ropey old breaks. I'm obviously very stupid)
Also, loath means reluctant, loathed means felt disgust for or extreme dislike.
Fractured mine last year (scaphoid I think but not certain), some swelling but not balloon-like. Had a cast for six weeks or so.
I wasn't sure I needed to visit A&E either so waited until the morning. They told me it's busy whenever you go, no point waiting.
Minor Injuires unit not an emergency department. You're not going to die of a fractured wrist.
I thought that I had sprained mine for 5 days- treating it with a compression sock and alcohol, until someone shook my hand.
*ouch*
Get yourself checked out.
@Northwind-blame that on autocorrect. I'm almost as mortified about that as I am about being sat here in the minor injuries clinic...
3am on the day after I'd done my second scaphoid I wanted to chop my arm off. The previous year and the other hand felt just like I'd sprained it.
Broke mine last year in three planes and compressed the bone. Now has a plate and tells the weather.
To be honest, compared with the other 12 fractures it wasn't too bad. But then I didn't move it once it was set and then subsequently operated on!
Nothing wrong with having an x-ray. Mine was pointing in the wrong direction, so it was an easy diagnosis. All I can say is than goodness they were carbon drop bars and not alloy, because I never let go and broke the bars with the impact. I don't want to think of the extra forces on my wrist had an alloy bar not fractured.
As above. Not necessarily that painful. It doesn't have to be a large fracture to be significant. If there is disruption of the joint surface surgery may be needed. Go to your minor injuries if there is one, a&e if there isn't (many places don't have miu's drac)
When I broke mine 11 months ago, it was sore, but I was able to pump up the tyre that burped in the crash with it, and ride home. There was some swelling around the base of the thumb but not much else. I had to have surgery to smooth out the 2mm dent I had put in the joint surface. The fracture line was only 1cm long in total hence not much pain.
Pain is a poor indicator for fractures, you'll need an x-ray. Minor injuries or GP referral will be your best bet.
Not a GP referral if you want someone to look at the pictures the day it is taken. It takes a week for me to get X-ray reports. I would tell you to go to a&e if you came to see me I'm afraid (no minor injuries)
Useful link for finding your nearest minor injury unit:
http://www.nhs.uk/Service-Search/Minor-injuries-unit/LocationSearch/551
When I broke mine it was quite obvious, and the x-ray showed I'd broken a number of bones - didn't hurt, but then gas&air is quite good pain relief 🙂
Luckily no cast, just metal-work and 8 years on I've more movement in the one I broke than the other.
Thanks all. Just back from minor injuries clinic in York who were brilliant. Had xrays and luckily no breaks, though they have asked me to go back in 10 days as they weren't 100% on my scaphoid and want to Xray it again. Hopefully it'll have improved by then and wont need it. In the meantime I've been given a very fetching beige splint to wear.
Jusy been temporarily casted today from a broken scaphoid. First break ever. Fortunately/unfortunately it doesn't hurt compared to the radial head break in my elbow on the same arm. Fun times ahead.
Go back for the repeat X-ray regardless. Scaphoid fractures don't always show up on the first X-ray so you should have a second one if it is suspected. Standard practice to bring you back. Missed scaphoid fracture can cause serious long term issues.
Back when I was at school, on holiday in Wales I slipped on rocks at the seaside and did the classic of putting my hand out to stop myself. Was I bit painful, but carried on playing around on the rocks.
Next morning, however, the pain was excruciating, no matter how I held it, and it had swollen to the size of my bicep, and I have very skinny wrists!
A trip to the local hospital saw me with a cast on my arm, and exemption from sports at school for the rest of the year.
The actual injury was a small chip off one of the carpal bones, but the actual pain was far more than the tiny injury would have suggested, probably as much down to bruising as the fracture.
Yep get it checked, broken bones in both hands. Not pleasant. Due to late presentation on one of them it's never going to be right again and I endured a week of hell with it. Also broke my schaphoid about 10 years back and that is coming back to haunt me for not getting it fixed.
Broke both mine though not at the same time. One was very, very obvious the other just a bit sore and a bit swollen.
Go get it checked out.
Go to your minor injuries if there is one, a&e if there isn't (many places don't have miu's drac)
Many places do though if there isn't one then yes it goes without saying to go to an emergency department.
Broken bones are rarely terribly painful in an agony context. I still managed 14 laps of Donington with a broken wrist.
I recently broke my elbow at BPW and my other arm was way worse pain.
I broke mine last year, didn't get it seen to until 7 weeks later and it had virtually healed.
Mainly out of stupidity, but it's done now. The more painful part was the tendon damage, it's 10 months now and I can just about manage 1 press up, so it got quite weak & inflexible.
I broke my scaphoid and another bone, ended up just strapping it up hard, and carried on riding for the rest of the season. Not my best idea
When I did mine I got intravenous morphine as it was displaced and yes, it hurt like buggery. Not really at first, that was more shock as the middle of my forearm was bent but afterwards once the adrenaline wore off. The morphine didn't stop it hurting but I was high so I didn't care. At 4am though when it did wear off it was bloody agony and as I was waiting for an op it was nil by mouth, so no extra top ups of pain relief. Finally got the surgery about 4pm so that was a long day indeed. Managed to do 3 bones in one sitting, radius, ulna and scaphoid. That was about 14 years ago and healed up pretty well although it aches when it's cold.
Scaphoid break here, sore but not painful unless I tried opening jars. Didn't show up on X Ray's till 2 weeks later and I'd been treating it as a sprain. Ended up with a Herbert screw and bone graft to fix it 🙁
I reckon more cyclists break scaphoids/wrists than collarbones, just gets diagnosed far less often. Can carry on riding with a bandage and watching out for potholes. Not so easy with a floppy arm.
Mate of mine had his fixed a few years ago after the bone started dying off. Reckoned it'd been broken nearly 10 years earlier and never fixed/diagnosed.
Plan was to fix it with a graft and pins but the Surgeon asked him if he wanted to ride mtbs or road bikes in future if they needed to fuse the joint. 😯
Luckily enough he just has an odd looking wrist instead......
Minor Injuires unit not an emergency department. You're not going to die of a fractured wrist.
Sorry disagree with this.
I went to a minor injuries in Scotland which was nurse led. The nurse x-rayed me, couldn't see the fracture. She sent the image to the nearest hospital for the useless F1 On Call doc to review, who couldn't see a fracture either.
I then sent a picture of the X-ray to Mrs FD (ortho surgeon) who said it was fractured. 2 days later I went to A&E in Leeds where it was re x-rayed, and seen by an Ortho Surgeon and guess what, its fractured.
Minor injuries is good if its minor (ie doesn't need a specialist) if you have potential broken bones you need to see some one who knows what they are talking about... or take your chances and risk having a less mobile wrist for the rest of your life.
Yet the OP went to a MIU and has been treat correctly. 😆
Yet the OP went to a MIU and has been treat correctly
Read what I said above 😀
Yeah I presented at A&E - no other option
My 10 year old scaphoid was diagnosed as fresh (TBH I didn't know it was broken back then) Missed another fracture and had 5 examinations before somebody manged to get it right.
The part where you disagree? 😕
Sorry Drac, no disagreement just that hands are a bugger to diagnose so slagging off minor injuries vs A&E is pointless
Precisely Mike which is why they usually do a follow up with a review, either a senior radiographer or consultant. Funcy just queue jumped that part, who can blame him.
Managed to do a complicated fracture of the radius and ulna when I was at uni that needed pinning and plating. It didn't really hurt, and I'd have not bothered with hospital if someone hadn't forced me into a car and driven me there.
This is STW though, so expect a few hundred posts of ire based on the fact that A&E is reserved solely for people who are clinically dead on arrival and that anything else is wasting their time.
"You THINK you've broken your wrist?! Take this herbal remedy and make an appointment to see your GP in a year if broken shards of bone are still sticking out of your arm. And even then you're probably wasting their time."
Depends how badly, broke my left when I was a teenager on a dry ski slope, was more concerned about my scuffed knee, but the swelling got worse and worse, but I was quiet happy to walk around A&E waiting to be plastered.
Broke the right in a cross country running race a few years later, that hurt a lot more, but I had to walk a few miles back to school so I had more time to think about it.
Broke the left one again 5-6 years ago, much worse, rotational fracture or something, I think they said my two forearm bones twisted over each other or something - instant football swelling and seriously painful, painful enough for me to pick up my left arm with my right to check for damage and remove my watch before it started to cause problems with the swelling, didn't even notice I'd lost the end of my right elbow and was pissing blood everywhere until later on, but when I did... shit the bed.
I had similar a month and a half back.
Fell hard on the wrist, knew I'd done something to it, finished the lap of the trails I was on, went home, got a bath and some food, didn't want to go to A&E.
Woke up and there was a fair bit of pain and a moderate amount of swelling and although I could move fingers and stuff, there was clearly something up as the weight of carrying my hand, let alone picking stuff up, was quite painful.
Turned out I'd broken both radius and ulna. Everything was in place though, so treatment was just a splint for 3-4 weeks and no MTBing for 8 weeks (well, they told me not to fall off for 8 weeks). Back on the road bike 4 weeks after, with a bit of pain over bumps (And a big fear of falling which would almost inevitably re-break the same wrist), and it's getting more rare to get any pain over bumps now. Need to finish the project bike I started off soon now!
Go to A&E, sounds like there's a good chance you've broken something, they will do some checks prior to taking X-rays too.
When I did my 6 months as a&e sho 22 years ago they made a point of showing us all the X-ray of the calcaneal fracture that one of the previous sho's had missed.... Funnily enough I didn't see another one while I was there...
Nurse in Sheffield Minor injuries unit correctly diagnosed my broken collar bone, my broken wrist, my wife's metatarsal fracture, her friend's tibial plateau fracture etc etc.
When I attended Sheffield northern general a&e with my 4 part proximal humerus fracture, which was to go on to need 2 operations the a&e reg said it was a soft tissue injury before sending me round to X-ray. His examination was only cursory and he hadn't detected the obvious bit of bone moving about. He then spotted one of the fractures on the X-ray, the second fracture also wasn't spotted by the (non upper limb specialist) consultant in fracture clinic, only by the shoulder specialist I saw the next day. The third fracture (3 breaks=4 parts) was only discovered during the surgery to plate it.
I'm not sure what my point is, other than sometimes it's hard to see fractures in X-rays.
You mean it's down to the individual not the department Docrobster? How very odd.
Precisely Mike which is why they usually do a follow up with a review, either a senior radiographer or consultant. Funcy just queue jumped that part, who can blame him.
Not quite, I guess its the one perk of knowing the NHS, and the other half being an Ortho.
Sometimes MIU's etc can get it right, a lot of the times they get it wrong, because they are not an expert in that specialty. So then the specialist only gets to see it at 10 days plus, at which point things have got worse, bones started to fuse meaning ops more necessary.
OP was asking for advice, so the best advice is to get to see the specialist if you can (if you suspect a break or requires x-ray), and that isn't going to happen at MIU or Minor Injuries.
Lots of people think the NHS would save money if services were made consultant led, however no one as yet has done the work to confirm it....
Quite the opposite drac. Those Drs that didn't see the fracture lines on the X-ray (or saw them but didn't realise it was not two views of one fracture but two different fractures) didn't have to get it completely right because the department pathway made sure I was always going to end up seeing the upper limb surgeon. The minor injuries unit is part of that pathway so I'd have ended up with the same outcome if I'd gone there. (Only reason I didn't was it isn't open at 11pm)
The detail that is missing from FD's story is what would have happened if they were staying in Scotland. Review clinic with a consultant and fresh X-rays if still tender in a few days or just discharged. In other words features of the department not the individual are what prevents cock ups generally. But obviously the individuals managing the department have to get that right, as they can't prevent f1 docs missing X-rays.
(I'm quite surprised an f1 was allowed to make that call. Times may have changed but when I was a pre-reg house officer we were not allowed to make discharge decisions. Hence no prho's worked in a&e.)
I suspect the difference is rurality. It's s risk of going to out of the way places that we all take.
Funkydunc. Both times I went to miu's I was seen by orthopaedics the next day, and by specialist in that part of the body the same or next day again. Surgery within 4 days both times. It's possible but probably not in a small local health system. Hence the move to trauma centres I guess
I think we're singing from the same song sheet Doc.
Slight hijack while there is medical people around.
I'm in alps. Broken elbow and wrist. In a massive cast. Got note for flying etc.
What do I do when I'm home? A and E? GP for a direct referall to bone people?
Worth contacting someone now to arrange something?
chrisdw - MemberSlight hijack while there is medical people around.
I'm in alps. Broken elbow and wrist. In a massive cast. Got note for flying etc.What do I do when I'm home? A and E? GP for a direct referall to bone people?
Worth contacting someone now to arrange something?
In my experinance you'll need to speak to GP first about a referal, I was an out-pacient for 12 months with broken bones, they discharged me with a friendy "if you have any problems you can just make an appoinment and come back" but when I tried I just got red tape and attitude from the admin staff.
Yes your GP should be able to sort you out with a fracture clinic follow up.
I agree Drac 😀
So 1 week on the pain in my scaphoid area has gone, and have decent range of motion without pain. However the outside of my wrist is incredibly tender to touch and if I try to squeeze my hand, as in a hand shake, there's a very sharp pain. Done a bit of googling and feels like it's the triquetrum area that's at fault. Second most common area to fracture after the scaphoid. Feels like I'm going to need those follow up x-rays.. 😐
So.. The outcome of follow up appointment was that I have chipped my Triquetral bone, which is opposite side to the Scaphoid. Doesn't really hurt that much and not in a cast luckily. However, I've had a letter asking me to go in as they want a look at some ligaments. Undecided whether to cancel or not, as not in much pain with it. Any thoughts?
However, I've had a letter asking me to go in as they want a look at some ligaments. Undecided whether to cancel or not, as not in much pain with it. Any thoughts?
Take the treatment, the things that they can do now are a lot more than the choices later
I'd far far prefer an untreated broken bone than untreated ligament or tendon damage. Bones heal after a few weeks and usually give minimal issues.
Tendons/ligaments can give decades of painful issues and lead to the need for quite serious surgery and long term recovery.
Take the appointment. Get it seen to.
Before it does start hurting.
@ghostlymachine sound advice BUT if you don't have a fracture which requires immediate treatment you get shoved into the queue for orthopedics. I damaged my arm & shoulder on 12th June but didn't actually break any bones, my referral from the GP (which was like getting blood out of a stone even though I can barely move my arm) has a first review set for 15th September!
I'm fairly sure, from experience, that I have rotator cuff damage but not having private health care I just have to wait. As I've had another x-ray to confirm no fracture I can at least see my local sports physio and try and get the arm moving again.
I know, from first hand experience, how good the NHS is if you have a life threatening injury but if you don't it can take a very long time to get anything fixed.
I came off the road bike on Sunday afternoon and after a long, bloody, rain swept ride home decided the elbow was a bit to painful for my liking. A trip to A&E left me in a cast as a precaution as my wrist and scaphoid area were painful to the touch. Glass removed from elbow and a big nappy pad on my butt cheek. Cant feel anything now in the wrist area but bloody hell the shoulder muscles and arse cheek are sore.
Cast off this Friday hopefully for another x-ray to say all is well. Just started working again a month ago so this couldn't have come at worse time.
Wife wants the bikes all on ebay.
So verdict was... GP sent me to A and E.
Initially very rubbish. Game me a fracture clinic appt over a week later when they didn't have any idea what was wrong other than what I told them. Went back the following day after the GP phoned ahead and told them to x Ray me again.
I've got an MRI on my wrist on Thursday to see if it's actually broken as the consultant wasnt convinced from the many many xrays I've now had.
Elbow cast has gone. Almost got full movement back. No pain just a bit stiff.