Final answer:
AROM exercises after a hand fracture, such as a Colles fracture, can begin once the fracture has stabilized, usually after natural healing or surgical intervention to ensure proper joint function and fracture stability.
Step-by-step explanation:
Active Range of Motion (AROM) exercises may be commenced following a hand fracture, such as a Colles fracture of the distal radius, after sufficient stability has been achieved either through natural healing or surgical intervention. If a fracture involves the joint surface of the radius, it can cause the articulating surface to become rough or jagged, leading to painful movement and the development of arthritis. Thus, a smooth joint surface, achieved potentially through surgery, is necessary for the return of normal function.
Surgery, involving the application of metal plates and screws, may be required for unstable fractures where the broken ends of the bone do not stay in place. This helps in stabilizing the fracture and allowing for proper healing. The decision to begin AROM exercises is typically made by a healthcare provider based on factors such as the stability of the fracture, pain levels, and healing progress, which is assessed through follow-up examinations and imaging studies.