After distal radius fracture, which complication is commonly expected?

• A. Carpal tunnel syndrome
• B. Stiffness and reduced grip strength with risk of CRPS
• C. Tendinopathy
• D. Osteoarthritis

Answer: (B)

After a distal radius fracture, stiffness of the wrist with reduced grip strength is the most common issue seen during recovery. Immobilization and trauma to the joint and surrounding soft tissues lead to contracture, capsular tightness, and tendon adhesions, all of which limit range of motion and weaken grip. There’s also a real risk of Complex Regional Pain Syndrome developing if healing is prolonged or movement is restricted, presenting with disproportionate pain, swelling, color and temperature changes, and autonomic signs. Early mobilization, edema control, and graded activity help minimize stiffness and the likelihood of CRPS.

Carpal tunnel syndrome can occur from swelling or nerve irritation after injury, but it’s not as routinely anticipated as the combination of stiffness and grip weakness with CRPS. Tendinopathy is less directly tied to the immediate fracture event, and osteoarthritis is more a long-term consequence of the joint injury rather than an early post-injury complication.