You have an Radial Neck Fracture/ Occult* Proximal Radius Fracture. Occult means there are signs on your x-ray suggesting a break to a bone in your elbow
Healing:
It normally takes 6 weeks for this fracture to heal.
Smoking will slow down your healing. We would advise that you stop smoking while your fracture heals. Talk to your GP or go to www.smokefree.nhs.uk for more information.
Pain and Swelling:
Your elbow may be swollen and you will have some pain. Taking pain medication and using ice or cold packs will help. More information is in the next section.
Wearing your sling:
Your sling should be worn for comfort in the first week. You can take it off to wash, dress and exercise. It does not need to be worn at night.
Exercise and activity:
Elbows get stiff very quickly. It is important to start exercising as soon as possible. You will find pictures and instructions for your exercises in the next section.
You should avoid lifting anything more than the weight of a cup of tea for the first 6 weeks. You can do light activities when your pain has settled.
Follow up:
A follow up appointment is not normally needed for this injury. Please contact the Virtual Fracture Clinic if you do not have full movement by 3 weeks after your injury. You may need a physiotherapy referral.
Any questions:
If you are concerned about your symptoms, are unable to follow this rehabilitation plan, or notice pain other than at your elbow, please contact the Virtual Fracture Clinic.
Caring for your injury: Week 1-6
Wear your sling for the first week. Take the sling off for washing, dressing and to do your exercises.
Using a cold pack will help with your pain and swelling. You can use an ice pack or bag of frozen peas wrapped in a damp towel. Put this on your elbow for 15 minutes every few hours. Make sure the ice isn’t in direct contact with your skin.
Try to rest your elbow, especially in the first 24-72 hours.
Exercises
Regular exercise will prevent stiffness and help to recover movement. Try to do these exercises every hour. If this is too painful, start with 3-4 times a day. Repeat each exercise 10 times.
- Open and close your hand. Next, move you wrist up and down.
- After a few days, hold a soft ball/ball of socks. Squeeze the ball as hard as possible without pain. Hold for 5 seconds.
- Bend and straighten your elbow so you feel a mild to moderate stretch. Do not push into pain.
- Bend your elbow to 90 degrees. Slowly turn your palm up and down until you feel a mild to moderate stretch. Do not push into pain.
Contact the Virtual Fracture Clinic if you do not have full movement 3 weeks after injury.
Caring for your injury: Week 6-12
Your fracture should now be healed.
You can gradually increase your day to day activity. Be guided by any pain or discomfort you may still have.
It is normal to still have mild discomfort. This may continue for 3-6 months.
Frequently Asked Questions
I’m concerned about my symptoms and/or I am struggling to return to exercise.
Please contact the Virtual Fracture Clinic.
I am struggling with my sling. What do I do?
Contact the Virtual Fracture Clinic. We are happy to give further advice or change your sling if needed.
When can I start driving?
You can return to driving when:
- You are no longer using a sling
- You can move comfortably
- You can control the vehicle safely
Always test your ability to drive in a safe environment first.
How can I get a certificate for work?
You can self-certify for the first 7 days following your injury. For any longer periods, please discuss the provision of a fitness to work statement with the Virtual Fracture Clinic Team or your GP.
Some pictures and content produced by Brighton and Sussex University Hospital and shared with permission.
Contact Details for Bedford and Luton
Please contact the hospital where you attended A&E as the other site will not be able to access your notes
BEDFORD HOSPITAL PATIENTS
How do I contact the Virtual Fracture Clinic (VFC)
- Telephone 01234 792036
- Messages will be checked every morning Monday to Friday (except for Bank Holidays)
- Email VFCBedford@bedfordhospital.nhs.uk
How do I contact the Fracture Clinic?
- Telephone 01234 792138
How do I contact the Plaster Room?
- Telephone 01234 792031
- Monday to Friday 9am to 5pm (out of hours contact the Emergency Department)
LUTON & DUNSTABLE HOSPITAL PATIENTS
How do I contact the Virtual Fracture Clinic (VFC)
- Telephone 01582 718121
- Messages will be checked every morning Monday to Friday (except for Bank Holidays)
- Email VFCLuton@ldh.nhs.uk
How do I contact the Fracture Clinic?
- Telephone 01582 497194 or 01582 718 993 (outpatient appointments)
How do I contact the Plaster Room?
- Telephone 01582 491166 (ext. 2233)
- Monday to Friday 9am to 5pm (out of hours contact the Emergency Department)