Perioperative Pain Management for Distal Radius Fractures

Orthop Clin North Am. 2023 Oct;54(4):463-470. doi: 10.1016/j.ocl.2023.05.006. Epub 2023 Jun 26.

Abstract

Distal radius fractures have a high incidence among both young and elderly patients, and in many instances require operative intervention. When operative intervention is employed, adequate pain management is essential to decrease postoperative complications, such as chronic pain and disability, while minimizing the risk of prolonged opioid use and dependence. Strategies to optimize pain management include regional anesthesia, preoperative dosing of medication, multimodal regimens, long-acting selective opioids at the time of surgery, corticosteroids, and non-pharmacologic therapies.

Keywords: Distal radius fracture; Multimodal pain control; Opioids; Pain management; Regional anesthesia.

Publication types

  • Review

MeSH terms

  • Aged
  • Analgesics, Opioid / therapeutic use
  • Chronic Pain*
  • Humans
  • Pain Management
  • Postoperative Complications
  • Wrist Fractures*

Substances

  • Analgesics, Opioid