Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with right wrist pain following a fall onto an outstretched hand (FOOSH). Reports localized tenderness in the anatomic snuffbox and pain with axial loading of the thumb. No numbness or tingling in the median nerve distribution. No prior history of wrist trauma.
Clinical Examination Findings
Right wrist examination reveals localized tenderness over the scaphoid tubercle and anatomic snuffbox. Pain elicited upon resisted supination and thumb abduction. No significant swelling or ecchymosis noted. Neurovascular status intact: radial pulse 2+, capillary refill <2 seconds, sensation intact to light touch in all digits.
Treatment Protocol
Immobilization initiated with a thumb spica splint. Patient advised to keep the splint clean and dry. Orthopedic follow-up scheduled for repeat imaging in 10-14 days to assess for fracture line visibility. Strict non-weight bearing on the right upper extremity.