Radial styloid fracture

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

  • Short arm splint; position wrist in mild flexion and ulnar deviation
  • Reduce displaced fractures to align attachments at the radial styloid process[1]

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.