Difference between revisions of "Radial styloid fracture"

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==Management==
 
==Management==
*Short arm splint; position wrist in mild flexion and ulnar deviation
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{{General Fracture Management}}
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===Acute Reduction===
 
*Reduce displaced fractures to align attachments at the radial styloid process<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
 
*Reduce displaced fractures to align attachments at the radial styloid process<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
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 +
===Immobilization===
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*Short arm [[splint]]; position wrist in mild flexion and ulnar deviation
  
 
==Disposition==
 
==Disposition==

Revision as of 04:30, 18 September 2019

Background

  • Also referred to as a Hutchinson or Chauffeur's fracture
  • Often accompanied by lunate dislocation
  • Often associated with carpal instability (carpal ligaments insert on the radial styloid)

Clinical Features

  • Wrist pain
  • Common mechanisms include direct blow to or fall onto radial aspect of wrist[1]

Differential Diagnosis

Distal radius fractures

Distal radius fracture eponyms

Eponyms Description
Barton's Fracture-dislocation of radiocarpal joint (with intra-articular fracture involving the volar or dorsal lip)
Chauffer's Fracture of radial styloid
Colles' Dorsally displaced, extra-articular fracture
Die-punch Depressed fracture of the lunate fossa (articular surface)
Smith's Volar displaced, extra-articular fracture

Evaluation

  • PA and lateral views of the wrist

Management

General Fracture Management

Acute Reduction

  • Reduce displaced fractures to align attachments at the radial styloid process[1]

Immobilization

  • Short arm splint; position wrist in mild flexion and ulnar deviation

Disposition

  • Outpatient

See Also

References

  1. 1.0 1.1 German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.