Isolated radius fracture (proximal): Difference between revisions
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==Background== | ==Background== | ||
{{Forearm anatomy}} | |||
*Rare | *Rare | ||
*When occur, most are displaced | *When occur, most are displaced | ||
*Compartment syndrome is rare | *Compartment syndrome is rare | ||
*Occur from direct blow to forearm or FOOSH | |||
==Clinical Features== | |||
*Pain/swelling, deformity | |||
*Point tenderness | |||
==Differential Diagnosis== | |||
{{Forarm fracture DDX}} | |||
==Evaluation== | |||
*Require full evaluation of DRUJ stability | |||
*Assess distal pulse, motor, and sensation | |||
*Forearm x-ray 2-view | |||
==Management== | ==Management== | ||
* | {{General Fracture Management}} | ||
===Immobilization=== | |||
*ED: Splint | |||
==Disposition== | |||
*Outpatient with orthopedic followup | |||
===Definitive Specialty Care=== | |||
*Non-displaced: cast immobilization | |||
*Displaced: Internal fixation | *Displaced: Internal fixation | ||
==See Also== | ==See Also== | ||
[[Forearm Fracture]] | *[[Forearm Fracture]] | ||
== | ==References== | ||
<references/> | |||
[[Category: | [[Category:Orthopedics]] | ||
Latest revision as of 00:46, 18 November 2021
Background
- Rare
- When occur, most are displaced
- Compartment syndrome is rare
- Occur from direct blow to forearm or FOOSH
Clinical Features
- Pain/swelling, deformity
- Point tenderness
Differential Diagnosis
Forearm Fracture Types
- Distal radius fractures
- Radia ulna fracture
- Isolated radius fracture (proximal)
- Isolated ulna fracture (i.e. nightstick)
- Monteggia fracture-dislocation
- Galeazzi fracture-dislocation
- Forearm fracture (peds)
Evaluation
- Require full evaluation of DRUJ stability
- Assess distal pulse, motor, and sensation
- Forearm x-ray 2-view
Management
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Immobilization
- ED: Splint
Disposition
- Outpatient with orthopedic followup
Definitive Specialty Care
- Non-displaced: cast immobilization
- Displaced: Internal fixation