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Smith fracture

Case contributed by Dr Eric F Greif


Pain status post motor vehicle collision.

Patient Data

Age: 70
Gender: Female

Multiple cortical defect involving the distal radius, with extention into the intra-articular region, consistent with an acute intra-articular comminuted fracture. There is mild volar angelation of the distal fragment (keeping with Smith fracture) along with impaction. Also noted is a comminuted ulnar styloid fracture. There is associated moderate soft tissue swelling about the wrist. Remaining osseous structures are intact. No dislocation. No destructive bony lesion.

There is moderate joint space narrowing at the first carpometacarpal joint with prominent osteophyte formation at the base the first metacarpal. There is some sclerotic changes of the lunate.

Case Discussion

Type 1 smith fracture. 

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Case information

rID: 29651
Published: 11th Jun 2014
Last edited: 23rd Dec 2019
Inclusion in quiz mode: Included

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