Clinical Presentation & Protocol
Patient Usually Complains Of
Presents to ED/Clinic following a Fall On an Outstretched Hand (FOOSH) or direct blow. Complains of immediate, severe pain, rapid swelling, and visible gross deformity. Unable to use the hand/arm.
Clinical Examination Findings
Holding the injured limb supported by the contralateral hand. In acute distress.
Treatment Protocol
1. Hematoma block / procedural sedation administered. 2. Closed reduction performed utilizing traction and appropriate manipulation. 3. Immobilized in a well-molded Sugar-Tong / Coaptation splint. 4. Post-reduction orthogonal radiographs obtained showing acceptable alignment. 5. Scheduled follow-up for surgical planning (ORIF) vs. definitive casting.