Isolated radius fracture (proximal): Difference between revisions
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*When occur, most are displaced | *When occur, most are displaced | ||
*Compartment syndrome is rare | *Compartment syndrome is rare | ||
*Occur from direct blow to forearm or FOOSH | |||
==Clinical Features== | |||
*Pain/swelling, deformity | |||
*Point tenderness | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Forarm fracture DDX}} | {{Forarm fracture DDX}} | ||
==Evaluation== | |||
*Require full evaluation of DRUJ stability | |||
*Assess distal pulse, motor, and sensation | |||
*Forearm x-ray 2-view | |||
==Management== | ==Management== | ||
*ED: Splint | |||
===Definitive=== | |||
*Nondisplaced: cast immobilization | *Nondisplaced: cast immobilization | ||
*Displaced: Internal fixation | *Displaced: Internal fixation | ||
==Disposition== | |||
*Outpatient with orthopedic followup | |||
==See Also== | ==See Also== | ||
[[Forearm Fracture]] | [[Forearm Fracture]] | ||
== | ==References== | ||
<references/> | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 06:17, 19 March 2018
Background
- Rare
- When occur, most are displaced
- Compartment syndrome is rare
- Occur from direct blow to forearm or FOOSH
Clinical Features
- Pain/swelling, deformity
- Point tenderness
Differential Diagnosis
Forearm Fracture Types
- Distal radius fractures
- Radia ulna fracture
- Isolated radius fracture (proximal)
- Isolated ulna fracture (i.e. nightstick)
- Monteggia fracture-dislocation
- Galeazzi fracture-dislocation
- Forearm fracture (peds)
Evaluation
- Require full evaluation of DRUJ stability
- Assess distal pulse, motor, and sensation
- Forearm x-ray 2-view
Management
- ED: Splint
Definitive
- Nondisplaced: cast immobilization
- Displaced: Internal fixation
Disposition
- Outpatient with orthopedic followup