Types of Wrist Fracture

The most common wrist fracture is a distal radius fracture (the forearm bone just above the wrist). Others include scaphoid fractures (a small carpal bone, easily missed) and ulnar-side fractures. Fractures are described as:

  • Non-displaced: Bone cracked but still aligned — often treated in a cast.
  • Displaced / unstable: Bone fragments out of position — may need realignment or surgery.
  • Intra-articular: The break extends into the wrist joint — surgery is more often needed to restore the joint surface.

Non-Surgical Treatment

Stable, well-aligned fractures are treated by reduction (if needed) and immobilisation in a cast or splint for around 4–6 weeks, with X-rays to confirm the bone stays in position. Hand therapy follows to restore movement and strength.

Surgical Treatment

  • Plate and screws (ORIF): The most common surgery — a plate holds the realigned bone, allowing earlier movement.
  • K-wires or external fixator: Used for certain fracture patterns.
  • Scaphoid fixation: A screw for displaced or non-healing scaphoid fractures, which have a higher non-union risk.

Recovery

  • Weeks 0–6: Cast (non-surgical) or early protected movement (after plating).
  • Weeks 6–12: Hand therapy to regain motion and grip.
  • Months 3–6: Continued strength gains; heavy loading as cleared by the surgeon.

Frequently Asked Questions

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Cast treatment with follow-up costs a few hundred to ~S$2,000 in the private sector. Surgical fixation (plate and screws) typically costs S$8,000–S$15,000+ including surgeon, implant and facility. It is medically indicated and usually Medisave-claimable and Shield-covered.

No. Stable, well-aligned fractures heal well in a cast. Surgery is recommended for displaced, unstable or joint-involving fractures to restore alignment and allow earlier movement. Your surgeon decides based on X-rays.

Yes. Fracture fixation is a medically necessary procedure, generally Medisave-claimable up to surgical limits and often covered by Integrated Shield Plans. Confirm with the clinic.

Bone healing typically takes about 6 weeks, but regaining full movement, grip strength and function with hand therapy often takes 3–6 months, depending on the fracture and treatment.

General information only — not medical advice. Always verify a doctor’s SMC registration and discuss your individual circumstances with a qualified specialist.