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 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== | ||
*Short arm splint; position wrist in mild flexion and ulnar deviation | *Short arm splint; position wrist in mild flexion and ulnar deviation | ||
*Reduce displaced fractures to align attachments at the radial styloid process | *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> | ||
==Disposition== | ==Disposition== | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 08:55, 16 October 2016
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 wristCite error: Invalid
<ref>tag; invalid names, e.g. too many
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
- Short arm splint; position wrist in mild flexion and ulnar deviation
- Reduce displaced fractures to align attachments at the radial styloid processCite error: Invalid
<ref>tag; invalid names, e.g. too many
Disposition
- Outpatient