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==

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

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

See Also

Forearm Fracture

References