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Case #2

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Demographics: 47 years old, Male
Indication: Trauma

Case #2

Findings

  • Acute, comminuted, impacted, intraarticular distal radial fracture with 1.5 cm volar displacement and comminution of the distal articular surface
  • Likely extension into the distal radioulnar joint
  • Acute ulnar styloid fracture with mild radial displacement
  • Acquired ulnar positive variance
  • Mild degenerative changes of the first MCP joint

Diagnosis

Smith fracture (Frykman VIII)

Sample Report

Acute, comminuted, impacted, intraarticular distal radial fracture with 1.5 cm volar displacement and comminution of the distal articular surface. Likely extension into the distal radioulnar joint. The distal radial fracture fragment maintains its articulation with the carpus.

Acute ulnar styloid fracture with mild radial displacement.

Acquired ulnar positive variance.

Mild degenerative changes of the first MCP joint.

Discussion

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References

  • Porrino Jr JA, Maloney E, Scherer K, Mulcahy H, Ha AS, Allan C. Fracture of the distal radius: epidemiology and premanagement radiographic characterization. AJR Am J Roentgenol 2014; 203(3): 551-559.
  • Meena S, Sharma P, Sambharia AK, Dawar A. Fractures of Distal Radius: An Overview. Journal of Family Medicine and Primary Care 2014; 3(4): 325-332.

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