Surgical vs Non-Surgical Treatment for Wrist and Shoulder Fractures

Do you have persistent pain in your shoulder and wrist? Is this due to a temporary injury or an indication of a severe fracture? This is what you need to ask because it depends on the right diagnosis and treatment plan. Deciding between surgical vs non-surgical treatment for wrist and shoulder fractures is crucial for anyone who has experienced a fall, sports injury, or any trauma. Not every treatment is for everyone, but the appropriate treatment approach depends entirely on fracture complexity, location, and lifestyle choices.

On one hand, non-surgical methods are a less invasive path for stable injuries. Conversely, surgical intervention provides the stability needed for the severely fractured bones to heal correctly. This blog offers a clear comparison between surgical vs. non-surgical treatment for wrist and shoulder fractures, giving you adequate knowledge to make an informed decision for your musculoskeletal health.

Difference Between Surgical vs. Non- Surgical Treatment for Wrist and Shoulder Fractures:

When you get a wrist or shoulder fracture, the primary aim is to heal the bone properly to achieve normal functioning. But the choice of treatment strictly varies with the nature and severity of the injury. Knowing the differences between surgical vs. non-surgical treatment of wrist and shoulder fractures enables you to make the right choice with your orthopedic doctor.

Surgeons Recommend This Procedure When

Non-surgical Approach

Doctors generally recommend non-surgical treatment for stable and non-displaced fractures where the bone can heal correctly without any invasive procedure, this conservative path is the preferred choice for the first-line treatment.

Surgical Procedure:

If patients have serious injuries and complicated fractures where the bones are fractured, displaced, and involve a joint surface, then a surgical procedure is the appropriate course of action. It is also for serious fractures (broken bones in many pieces) or open fractures where the bone breaks the skin. Surgeons also go for surgical treatment if the bone does not heal properly with the original casting.

Healing Process For Both Procedures

Non-surgical Method

The initial procedure focuses on immobilization. Your surgeon will manually realign your bones. This procedure is known as closed reduction. After that, orthopaedics apply a cast or splint to hold your broken bones and joints in place as they heal. Surgeons recommend an X-ray test to monitor the positioning of the growing bone. The major advantage of non-surgical treatment in comparison to surgical treatment is that it does not carry any surgical risk. But the patient must be watchful so that the alignment of the bone does not change while healing.

Surgical Treatment

The treatment includes the surgical procedure, more widely referred to as Open Reduction and Internal Fixation (ORIF). The bone pieces are reset to their proper position by surgeons, and afterwards, the alignment of these pieces is secured using special plates and pins. This yields instantaneous stability and shields the motion of adjacent joints, and avoids stiffness, which is a major benefit over long-casting in non-surgical treatment.

Recovery Timeline for both procedures

Non-surgical Strategy

After a long period of strict immobilization of bones, Ankle Fracture recovery period starts. Recovery time for non-surgical treatment for wrist and shoulder fractures is 6 to 8 weeks. When patients’ casts are removed, they start rehabilitation to treat joint stiffness, muscle weakness, and atrophy due to extended rest. Physical therapy is required during this time to enable the patients to regain the range of motion, strength, and function of their joints.

Surgical Technique

The biggest advantage of this procedure is a quicker rehabilitation time. Since the fracture has been stabilized internally, patients can begin with physical therapy only a few days after the operation. This “early mobilization” is important in the prevention of stiffness in the shoulder or wrist in the long term. In addition, physiotherapists are assigned to patients who will oversee their recovery rate carefully. They assist in strengthening your bones and joints by beginning with light exercises and then progressing gradually.

Possible Risks and Complications for Both Treatments

Non-Surgical Treatment Method

The most common risk is “malunion,” when the bones heal in the wrong position. This leads to long-term pain, joint deformity, and reduced function. Due to the extended immobilization because of the cast, there is also a risk of stiffness and muscle weakness. Moreover, some fractures may never heal with a non-surgical treatment approach and will require a surgical procedure to correct the failing process.

Surgical Approach

As with any operation, surgical treatment for wrist and shoulder fractures also includes some risks. These risks are infection, nerve and blood vessel damage, implant failure, and allergy to anesthesia. Perhaps worst of all, future surgery is needed to remove the metal hardware. Yet surgery is a sound method of obtaining anatomic alignment with complicated fractures.

Longevity of Results

Non-Surgical Treatment Method

For minor stable fractures, non-surgical treatment leads to successful outcomes. Patients also regain full function of their broken bones and joints. However, the success is thoroughly dependent on the patient’s commitment to post-cast rehabilitation and bone position maintenance. It is highly important because patients are at risk of developing post-traumatic arthritis if the joint surface is not aligned perfectly.

Surgical Approach

The aim of the surgical intervention is to achieve a near-anatomic reconstruction of the bone, thereby preserving joint function and minimizing the risk of arthritis. The treatment provides predictable outcomes for serious injuries and restores your strength to resume high-functioning daily life activities.

Expert Fracture Care by Dr. Ahmed Shoaib at Orthocenter

Personalized Treatment for Wrist & Shoulder Injuries.

Comparison between a Non-surgical and Surgical Treatment For Wrist and Shoulder Fracture

AspectNon-Surgical TreatmentSurgical Treatment
What happensA cast, splint, or brace holds your fracture in place, providing the stability it needs to heal correctly on its own.During surgery, your orthopedic surgeon stabilizes the bone fragments with plates, screws, or pins.
Recovery timeTypically, 6-8 weeks for the wrist, 8-12 weeks for the shoulder.Early healing is the same amount of time, but complete recovery could take 3-6 months.
Pain levelModerate pain that improves within days to weeks.More immediate pain after surgery, but often better long-term pain relief
Mobility afterwardMay have some stiffness; physical therapy helps regain movementGenerally, better alignment means better function, though rehab is crucial
Follow-up careRegular X-rays to monitor healing, cast changes if neededRemoval of stitches, monitoring hardware, and possible second surgery to remove plates/screws later

Conclusion: Which Approach is the Best?

The optimal choice between surgical vs non-surgical treatment for wrist and shoulder fractures is the one your orthopedic surgeon made for you, based on your injuries. This is determined by the patient’s age, activity level, overall health, and severity of the fracture. A stable fracture in a less active individual heals properly with casting, while a complex fracture, even in an active person, requires surgery. The final goal of both treatments is to achieve a successful recovery. Having confidence in your orthopedic surgeon’s skills is the single most significant step you can take to assure you will regain full joint function.

Hence, selecting an appropriate surgeon makes a difference. At Orthocenter, Dr. Ahmed Shoaib, an orthopedic surgeon, offers the treatment of complicated fractures of the wrist and shoulder. He is dedicated to delivering patient-centered care and advising his patients on which treatment route, between surgical vs non-surgical treatment of wrist and shoulder fractures, is suitable for them.

He carefully diagnoses the condition of a patient, and then considers what kind of treatment approach is suitable for this person. His surgical residency, along with the latest rehabilitation and surgical equipment, delivers what you expect: the restoration of joint strength and function with painless movement.

Don’t let any injury keep you behind. Schedule a consultation with Dr. Ahmed Shoaib today to receive a comprehensive evaluation and embark on the path of journey with a surgeon who prioritizes your long-term well-being.