Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with an open fracture of the right distal radius following [mechanism of injury]. Reports severe pain, deformity, and visible bone exposure at the site. Neurovascular status: [intact/compromised]. Tetanus status: [up to date/unknown].
Clinical Examination Findings
Right wrist: Obvious deformity, soft tissue disruption with exposed bone fragment. Tenderness to palpation. Capillary refill < 2 seconds. Distal pulses (radial/ulnar) palpable. Sensation intact in median, ulnar, and radial nerve distributions. No compartment syndrome signs.
Treatment Protocol
Immediate irrigation and debridement of the open wound. Administration of IV antibiotics and tetanus prophylaxis. Closed reduction performed under [sedation/block]. Immobilization via splinting. Orthopedic surgery consultation for urgent ORIF (Open Reduction Internal Fixation).