Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute left wrist pain following a mechanical fall onto an outstretched hand (FOOSH). Reports immediate onset of pain, swelling, and visible deformity. Denies numbness, tingling, or loss of sensation in the digits. No history of prior trauma to the affected extremity.
Clinical Examination Findings
Left wrist examination reveals classic "dinner fork" deformity with dorsal angulation and radial shortening. Significant edema and ecchymosis present over the distal radius. Tenderness to palpation localized to the distal radial metaphysis. Neurovascular status: radial pulse 2+; 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. Immobilization achieved via sugar-tong splint in neutral position. Orthopedic follow-up scheduled for 7-10 days for repeat imaging and potential transition to short-arm cast. Analgesia prescribed for pain management.