Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right forearm pain and deformity following a fall onto an outstretched hand (FOOSH). Reports immediate loss of function, significant swelling, and localized tenderness over the distal radius and ulnar head. No reported numbness or tingling in the hand.
Clinical Examination Findings
Right forearm reveals obvious deformity, localized ecchymosis, and significant swelling at the distal third of the radius. Tenderness to palpation over the distal radioulnar joint (DRUJ) and distal radial shaft. Neurovascular exam: 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 sedation/regional block. Post-reduction radiographs confirm anatomical alignment of the radial fracture and reduction of the DRUJ. Immobilization in a long-arm splint with the forearm in neutral rotation. Orthopedic surgery consultation for potential ORIF of the radius.