Extension Fractures

Extension Fractures: Understanding the Injury and Physiotherapy Management 

Extension fractures, also known as hyperextension fractures, occur when a joint is forced beyond its normal range of motion, causing a break in the bone. This type of fracture commonly affects the elbow, wrist, or spine and can result from falls, sports injuries, or traumatic accidents. At Brisbane Physiotherapy, we regularly treat patients recovering from extension fractures, and our physiotherapy programs are tailored to promote healing, restore function, and prevent future complications. 

What Causes Extension Fractures? 

Extension fractures happen when the joint is forced into excessive extension, usually due to: 

  1. Falls: Falling onto an outstretched arm or hand can cause a hyperextension of the elbow or wrist, leading to a fracture. This is common in sports like netball, football, or cycling. 

  2. Trauma: Car accidents, workplace injuries, or direct impacts can result in an extension fracture, particularly in the arms or spine. 

  3. Sports Injuries: High-impact sports or activities with sudden changes in direction can cause hyperextension, particularly in the elbows or wrists. Gymnasts and athletes in contact sports are particularly at risk. 

Symptoms of Extension Fractures 

The symptoms of an extension fracture will vary depending on the severity and location of the injury, but common signs include: 

  • Pain: Immediate and sharp pain at the site of the fracture, especially when trying to move the affected joint. 

  • Swelling and Bruising: Swelling typically develops quickly after the injury, and bruising may appear within a few hours. 

  • Deformity: In some cases, the affected area may appear misshapen or out of alignment. 

  • Limited Mobility: Difficulty moving the affected joint due to pain or instability is common. 

How Physiotherapy Can Help 

Physiotherapy is essential in the rehabilitation process after an extension fracture. Once the bone has healed, therapy focuses on restoring strength, flexibility, and function to the injured area. At Brisbane Physiotherapy, we create customised treatment plans to support recovery based on the severity of the fracture and the patient's individual needs. 

  1. Range of Motion Exercises: After a period of immobilisation, it's crucial to gently restore movement in the affected joint. Our physiotherapists will guide you through exercises that gradually increase your range of motion without placing too much strain on the healing bone. 

  2. Strengthening Exercises: Once mobility is regained, strengthening the muscles around the affected area is vital to support the joint and prevent future injuries. We use progressive resistance exercises to build strength safely. 

  3. Manual Therapy: Hands-on techniques like soft tissue massage and joint mobilisation can help reduce stiffness and improve flexibility in the muscles and tendons surrounding the injured area. 

  4. Pain Management: In the early stages of rehabilitation, we employ techniques like heat therapy, ice packs, and electrical stimulation to manage pain and reduce swelling. 

Conclusion 

Extension fractures can be a painful and debilitating injury, but with the right physiotherapy approach, you can make a full recovery. At Brisbane Physiotherapy, we focus on restoring strength, mobility, and function through personalised treatment plans. If you’ve suffered an extension fracture, our team is here to guide you through your rehabilitation and help you get back to your normal activities as safely and quickly as possible. 

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