Chauffeur fracture

Case contributed by Mario Javier Ordoñez Franco
Diagnosis certain

Presentation

Patient with history of acute right hand trauma. Wrist tenderness.

Patient Data

Age: 30 years
Gender: Male
x-ray

Sagittal radial styloid fracture that goes from the distal articular surface and sagittal to the distal metaphysis.

Other bones are otherwise normal.

No dissociation or dislocation.

Ulnar styloid process is normal.

Case Discussion

Chauffeur fractures are intraarticular fractures of the radial styloid process secondary to trauma to the back of the wrist or from forced dorsiflexion and abduction.

Findings associated with this kind of fractures are:

  • scapholunate dissociation
  • scaphoid-perilunate dislocation 
  • ulnar styloid fracture

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