Presentation
Wrist pain post motor vehicle accident
Patient Data
Age: 20 years
Gender: Female
From the case:
Pronator fat pad sign with a subtle distal radial fracture
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Bowing of the pronator quadratus fat pad. Subtle undisplaced distal radius fracture with no definite evidence of intra-articular extension. Carpal bones have a normal appearance.
Case Discussion
A nice sign to see when present, but due to poor sensitivity, the absence of the pronator fat pad sign does not exclude a distal radial fracture.