Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right wrist pain and swelling following a mechanical fall onto an outstretched hand (FOOSH). Reports localized tenderness, limited range of motion, and inability to bear weight or grip objects with the right hand. No reported numbness, tingling, or distal neurovascular deficits.
Clinical Examination Findings
Right wrist examination reveals visible deformity, significant edema, and ecchymosis over the distal radius. Palpation demonstrates point tenderness at the radial styloid and distal metaphysis. Neurovascular status intact: 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 local anesthesia (hematoma block) followed by immobilization in a well-padded short arm splint/cast. Post-reduction radiographs confirm acceptable alignment. Patient advised on elevation, ice application, and strict avoidance of strenuous activity. Follow-up scheduled for repeat imaging in 7-10 days.