Monitoring
Although routine radiography in the follow-up of distal radial fractures is common practice, its usefulness is disputed.[95] The American Academy of Orthopaedic Surgeons states that limited evidence suggests no difference in outcomes (functional outcome, health-related quality of life, pain, or complications) based on frequency of radiographic evaluation for patients treated for distal radius fractures.[35][95] The British Orthopaedic Association advises repeat radiographs of the wrist 1-2 weeks after injury (or manipulation) where it is thought that the fracture pattern is unstable AND when subsequent displacement will lead to surgical intervention.[96]
As the fracture unites, an occupational therapy program (graduated range of motion program) should be initiated. Low-quality evidence suggests there is no clear difference in outcome between an independent home exercise program and supervised hand therapy following treatment for distal radius fractures.[35]
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