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 distal digits. Denies prior trauma to the affected extremity.
Clinical Examination Findings
Right wrist examination reveals classic "dinner fork" deformity with dorsal angulation and radial shortening. Significant edema and ecchymosis noted over the distal radius. Tenderness to palpation over the distal radial metaphysis. 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. Immobilization achieved via well-padded sugar-tong splint. Patient instructed on elevation, ice application, and strict avoidance of heavy lifting. Orthopedic follow-up scheduled for repeat imaging in 7-10 days to ensure maintenance of reduction.