Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with left wrist pain following a fall onto an outstretched hand (FOOSH). Reports localized tenderness in the anatomical snuffbox, pain with thumb axial loading, and restricted range of motion. No neurovascular deficits noted.
Clinical Examination Findings
Left wrist examination reveals significant tenderness over the scaphoid waist and anatomical snuffbox. Swelling present; no ecchymosis. Pain elicited upon resisted thumb extension and axial compression. Distal neurovascular status intact with 2+ radial pulse and capillary refill <2 seconds.
Treatment Protocol
Immobilization in a thumb spica splint/cast. Strict non-weight bearing on the left upper extremity. Referral to hand surgery for follow-up. Pain management with NSAIDs as tolerated. Repeat radiographs in 10-14 days to assess for fracture line progression or occult injury.