Displaced Midshaft Radial Fracture
The patient is a 32 y/o AA RHD male presenting to your Orthopeadic urgent care clinic with acute Right forearm (FA) pain. He is 5 foot 10 inches tall and approximately 190 pounds. He describes a FOOSH type injury to the FA during a flag football game over the weekend. His pain is rated a 6/10 with the inability to pronate and supinate at the wrist. Your astute physical exam reveals swelling and discreet eccymosis with a mild angulation deformity of the forearm. You order a wrist and forearm plain film radiograph for further evaluation. The radiograph demonstrates a minimally displaced midshaft radial fracture and apparent disruption of the distal radial-ulnar joint.
#1- What is the name given to this particular FX pattern?
#2- How would you immobilize the patient awaiting surgical stabilization?
#3- What is the name given to the second common FX pattern involving a proximal ulna FX and dislocation of the radial head?
Last edited Sunday, October 21, 2018