Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with left wrist pain and deformity following a fall onto a flexed wrist. Reports immediate onset of pain, swelling, and restricted range of motion. Denies numbness or tingling in the digits. No prior history of trauma to the left upper extremity.
Clinical Examination Findings
Left wrist examination reveals visible volar displacement of the distal radius fragment (garden spade deformity). Significant edema and ecchymosis noted over the volar aspect. Tenderness to palpation over the distal radius. Neurovascular status: 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 hematoma block. Post-reduction radiographs confirm acceptable alignment. Immobilization achieved with a long-arm volar splint in neutral position. Patient instructed on strict elevation and ice application. Orthopedic follow-up scheduled for repeat imaging in 7 days.