Comminuted fracture distal radius

Case contributed by Dr Abdallah Mohamed

Presentation

Fall on outstretched hand with severe pain and edema around the wrist

Patient Data

Age: 25 years
Gender: Male

Grossly comminuted intra-articular fracture of the distal radial extending through the radial styloid process. Gross dispersion of bony chips at the volar and dorsal aspects of the distal radius.

Carpal rows alignment and joint spaces are preserved.

Soft tissue hematoma surrounding the distal radial fracture. A dorsal slap is noted.

Case Discussion

Comminuted fracture of the distal radius is not uncommon and usually, the mechanism is falling on an outstretched hand.

A close match is a Die-punch fracture especially when comminuted, but it well shows an obvious focal depression of the radial lunate fossa.

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Case information

rID: 83016
Published: 12th Oct 2020
Last edited: 12th Oct 2020
Inclusion in quiz mode: Included