Radial styloid fracture: Difference between revisions
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==Background== | ==Background== | ||
*Also referred to as a Hutchinson or Chauffeur's fracture | *Also referred to as a Hutchinson or Chauffeur's fracture | ||
*Often accompanied by [[perilunate and lunate dislocations|lunate dislocation]] | |||
*Often accompanied by lunate dislocation | |||
*Often associated with carpal instability (carpal ligaments insert on the radial styloid) | *Often associated with carpal instability (carpal ligaments insert on the radial styloid) | ||
==Clinical Features== | ==Clinical Features== | ||
*Wrist pain | |||
*Common mechanisms include direct blow to or fall onto radial aspect of wrist<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref> | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Management== | ==Management== | ||
{{General Fracture Management}} | |||
===Acute Reduction=== | |||
*Reduce displaced fractures to align attachments at the radial styloid process<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref> | |||
===Immobilization=== | |||
*Short arm [[splint]]; position wrist in mild flexion and ulnar deviation | |||
==Disposition== | ==Disposition== | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Latest revision as of 18:13, 28 September 2019
Background
- Also referred to as a Hutchinson or Chauffeur's fracture
- Often accompanied by lunate dislocation
- Often associated with carpal instability (carpal ligaments insert on the radial styloid)
Clinical Features
- Wrist pain
- Common mechanisms include direct blow to or fall onto radial aspect of wrist[1]
Differential Diagnosis
Distal radius fractures
- Colles' fracture
- Smith's fracture
- Barton's fracture
- Radial styloid fracture
- Distal radioulnar joint disruption
Distal radius fracture eponyms
| Eponyms | Description |
| Barton's | Fracture-dislocation of radiocarpal joint (with intra-articular fracture involving the volar or dorsal lip) |
| Chauffer's | Fracture of radial styloid |
| Colles' | Dorsally displaced, extra-articular fracture |
| Die-punch | Depressed fracture of the lunate fossa (articular surface) |
| Smith's | Volar displaced, extra-articular fracture |
Evaluation
- PA and lateral views of the wrist
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
Acute Reduction
- Reduce displaced fractures to align attachments at the radial styloid process[1]
Immobilization
- Short arm splint; position wrist in mild flexion and ulnar deviation
Disposition
- Outpatient