Last reviewed: November 2017
Last updated: March  2016

Summary

Definition

History and exam

Key diagnostic factors

  • hx of trauma or osteoporosis
  • wrist pain
  • tenderness over the distal radius
  • swelling

Other diagnostic factors

  • deformity
  • tenderness in the anatomic snuff-box
  • numbness in the fingers
  • hypoesthesia
  • open wound
  • blisters

Risk factors

  • trauma
  • osteoporosis

Diagnostic investigations

1st investigations to order

  • plain radiographs of the wrist
Full details

Investigations to consider

  • CT wrist
  • MRI (without contrast) wrist
  • DXA
  • compartment-pressure tonometry
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Associate Professor

Department of Orthopaedic Surgery

Chief

Division of Elbow, Hand and Microsurgery

University of Michigan

Ann Arbor

MI

Disclosures

JNL is a consultant for Innomed Inc, has received honoraria from The AO Foundation for teaching courses, and has been sponsored for research by DePuy Synthes.

Assistant Professor

Department of Orthopaedic Surgery

University of Michigan

Ann Arbor

MI

Disclosures

JRL declares that he has no competing interests.

Dr Jeffrey N. Lawton and Dr John R. Lien would like to gratefully acknowledge Dr Gregory D. Byrda, Dr Tamara D. Rozental, and Dr Chaitanya S. Mudgal, previous contributors to this monograph. GDB declares that he has no competing interests. TDR is an author of a number of references cited in this monograph. CSM has been reimbursed by AO North America and Asia Pacific for being a faculty member during educational conferences.

Peer reviewers VIEW ALL

Program Director of Hand and Upper Extremity Surgery

Rothman Institute

Associate Professor of Orthopaedic Surgery

Thomas Jefferson University

Philadelphia

PA

Disclosures

AI declares that he has no competing interests.

Associate Professor of Orthopaedics

Lund University

Chief

Hand Surgery Section

Department of Orthopaedics

Hässleholm and Kristianstad Hospitals

Sweden

Disclosures

Not disclosed.

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