Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute left wrist pain following a mechanical fall onto an outstretched hand (FOOSH). Reports localized swelling, deformity, and restricted range of motion. Denies numbness, tingling, or distal paresthesia. No prior history of trauma to the affected extremity.
Clinical Examination Findings
Left wrist examination reveals visible dorsal angulation and radial shortening. Significant tenderness to palpation over the distal radius. Neurovascular status intact: radial pulse 2+, capillary refill <2 seconds, and sensation preserved in the median, ulnar, and radial nerve distributions. Skin is intact with no signs of open fracture.
Treatment Protocol
Closed reduction performed under hematoma block. Post-reduction radiographs confirm acceptable alignment. Immobilization achieved via well-padded sugar-tong splint. Orthopedic follow-up scheduled for 7-10 days for repeat imaging and potential transition to short-arm cast.