Question 1705
{"accessible":true,"alternatives":[{"id":8474,"text":"axial loading of the carpus"},{"id":8475,"text":"axial loading of the forearm"},{"id":8476,"text":"fall onto flexed wrist "},{"id":8477,"text":"fall onto outstretched hand "}],"archived":false,"correctAlternativeId":8476,"explanation":"\u003cp\u003eThis is a\u0026nbsp;distal radius and ulna fracture with significant shortening, volar displacement and volar angulation.\u0026nbsp;The traditional\u0026nbsp;mechanism of injury would be a \u003cstrong\u003efall onto a flexed wrist\u003c/strong\u003e, placing volar stress on the wrist and resulting in what is known as a Smith fracture.\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":1705,"imageUrl":"https://prod-images-static.radiopaedia.org/images/4803688/949c5460684667fc605699a67bf7d2_big_gallery.jpg","imageAttribution":{"kind":"case","rID":25199},"imageAttributionCaseInfo":{"title":"Smith fracture","contributor_name":"Jan Frank Gerstenmaier","contributor_param":"gerstenmaierj","case_rid":25199,"case_param":"smith-fracture-1"},"firstQuestionPath":"/questions/2754","nextQuestionPath":"/articles/smith-fracture/questions/1695","relatedArticles":[{"id":1146,"title":"Colles fracture","link":"/articles/colles-fracture?lang=us"},{"id":38844,"title":"Die-punch fracture","link":"/articles/die-punch-fracture?lang=us"}],"alsoUsedIn":[{"id":747,"kind":"Course","title":"Emergency Radiology Course - Melbourne - page 747","link":"https://radiopaedia.org/courses/emergency-radiology-course-melbourne-2022/pages/747"},{"id":747,"kind":"Course","title":"X-ray Interpretation: Wrist Injuries - page 747","link":"https://radiopaedia.org/courses/x-ray-interpretation-wrist-injuries/pages/747"},{"id":747,"kind":"Course","title":"Emergency Radiology Course - Brisbane - page 747","link":"https://radiopaedia.org/courses/emergency-radiology-course-brisbane-2022/pages/747"},{"id":747,"kind":"Course","title":"X-ray Interpretation: Upper Limb Injuries - page 747","link":"https://radiopaedia.org/courses/x-ray-interpretation-upper-limb-injuries/pages/747"}],"stem":"\u003cp\u003eWhat mechanism most likely led to this injury?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1705"}],"attemptsPercentages":[{"alternativeId":"8476","percentage":61},{"alternativeId":"8475","percentage":4},{"alternativeId":"8477","percentage":31},{"alternativeId":"8474","percentage":5}],"promptToLogin":false,"questionManager":false,"articleId":"smith-fracture"}