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trauma

Distal Radius Fracture (Colles'), Right

ICD-10 Code
S52.511A_2

Comprehensive clinical diagnosis and template for Distal Radius Fracture (Colles'), Right.

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents with acute right wrist pain following a 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 injury to the right upper extremity.

Clinical Examination Findings

Right wrist examination reveals dorsal angulation and radial shortening (dinner-fork deformity). Significant localized tenderness over the distal radius. Neurovascular status intact: radial pulse 2+, capillary refill <2 seconds, sensation intact to light touch in median, ulnar, and radial nerve distributions. No skin tenting or open wounds noted.

Treatment Protocol

Immobilization with a sugar-tong splint applied to the right upper extremity. Orthopedic consultation requested for potential reduction and fixation. Pain managed with NSAIDs and elevation. Advised to keep splint clean and dry. Follow-up scheduled for repeat radiographs to assess alignment.

Detailed clinical guide coming soon.