Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right wrist pain and deformity following a fall onto an outstretched hand (FOOSH). Reports immediate onset of swelling, limited range of motion, and inability to bear weight or grip objects with the right hand. No reported numbness or tingling in the fingers.
Clinical Examination Findings
Right wrist examination reveals classic "dinner fork" deformity with dorsal angulation and radial shortening. Significant soft tissue swelling and ecchymosis noted. Tenderness to palpation over the distal radius. Neurovascular status: Radial pulse 2+ and symmetric; capillary refill <2 seconds; sensation intact to light touch in median, ulnar, and radial nerve distributions.
Treatment Protocol
Closed reduction performed under hematoma block/sedation. Post-reduction radiographs confirm acceptable alignment. Right wrist immobilized in a sugar-tong splint in neutral position. Patient instructed on strict elevation and ice application. Orthopedic follow-up scheduled for repeat imaging in 7-10 days to monitor for secondary displacement.