Differential Diagnoses

Workup

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Media Gallery

Total volar displacement of distal radius fracture from patient fall; mechanism consistent with Smith fracture. Posteroanterior (PA) view of left wrist shows complex comminuted fracture deformity of the distal radius with overlap of the fracture fragments and antipalmar angulation of the fracture apex.
Total volar displacement of distal radius fracture from patient fall; mechanism consistent with Smith fracture. Anteroposterior (AP) external rotation view of left wrist shows complex comminuted fracture deformity of the distal radius with overlap of the fracture fragments and antipalmar angulation of the fracture apex.
Total volar displacement of distal radius fracture from patient fall; mechanism consistent with Smith fracture. Lateral view of left wrist shows ulnar sided subluxation of the ulna in relation to the distal carpal bones.
Reduction obtained by volar inversion of hand on forearm and axial traction. Posteroanterior (PA) view of left wrist post-reduction shows interval reduction of the comminuted fracture of the distal radius with probably extension of fracture lines to the articular surface.
Reduction obtained by volar inversion of hand on forearm and axial traction. Lateral view of left wrist post-reduction shows interval reduction of the ulnar subluxation.

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Author

Bryan C Hoynak, MD, FACEP, FAAEM Associate Clinical Professor of Emergency Medicine, University of California at Irvine School of Medicine; Director of Emergency Services, Chairman of Division of Emergency Medicine, Placentia-Linda Hospital; Faculty, Idaho College of Osteopathic Medicine

Bryan C Hoynak, MD, FACEP, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine, American Burn Association, American College of Emergency Physicians, American College of Surgeons, American Heart Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Russell D White, MD Clinical Professor of Medicine, Clinical Professor of Orthopedic Surgery, Department of Community and Family Medicine, University of Missouri-Kansas City School of Medicine, Truman Medical Center-Lakewood

Russell D White, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Family Physicians, American Association of Clinical Endocrinologists, American College of Sports Medicine, American Diabetes Association, American Medical Society for Sports Medicine

Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago Division of the Biological Sciences, The Pritzker School of Medicine

Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, Arthroscopy Association of North America, Herodicus Society, American Orthopaedic Society for Sports Medicine

Disclosure: Received consulting fee from Biomet, Inc. for speaking and teaching; Received grant/research funds from Smith and Nephew for fellowship funding; Received grant/research funds from DJ Ortho for course funding; Received grant/research funds from Athletico Physical Therapy for course, research funding; Received royalty from Biomet, Inc. for consulting.

Additional Contributors

Janos P Ertl, MD Assistant Professor, Department of Orthopedic Surgery, Indiana University School of Medicine; Chief of Orthopedic Surgery, Wishard Hospital; Chief, Sports Medicine and Arthroscopy, Indiana University School of Medicine

Janos P Ertl, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Association, Hungarian Medical Association of America, Sierra Sacramento Valley Medical Society

Disclosure: Nothing to disclose.

Carpal Bone Injuries Differential Diagnoses

Differential Diagnoses

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