Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute left wrist pain following a fall onto an outstretched hand (FOOSH). Reports localized tenderness in the anatomical snuffbox, swelling, and restricted range of motion. No neurovascular deficits noted.
Clinical Examination Findings
Left wrist examination reveals significant tenderness upon palpation of the anatomical snuffbox and scaphoid tubercle. Axial loading of the thumb elicits pain. Mild edema present; skin intact. Distal neurovascular status (radial/ulnar pulses, capillary refill) is intact.
Treatment Protocol
Immobilization in a thumb spica splint/cast. Strict non-weight bearing on the left upper extremity. Referral to orthopedic surgery for follow-up and potential surgical intervention. Pain management with NSAIDs/analgesics as indicated.