Distal radius fracture history and symptoms: Difference between revisions

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{{Distal radius fracture}}
{{Distal radius fracture}}
{{CMG}} {{AE}} {{VVS}}
{{CMG}}; {{AE}} {{Rohan}}
 
==Overview==
A positive history of [[pain]], [[deformity]], and restricted [[wrist]] movements is suggestive of [[distal radius fracture]].
 
==History and Symptoms==
==History and Symptoms==
===History===  
*Symptoms of [[distal radius fracture]] include [[pain]], [[deformity]], and restricted wrist movements. 
Patients usually present with a history of an injury and localized [[Pain and nociception|pain]]. They frequently also notice deformity of the wrist and swelling. Numbness of the hand can occur. Inability to use the hand is also common.
 
===History===
Patients with [[distal radius fracture]] may have a positive history of:<ref name="pmid16376003">{{cite journal| author=Bienek T, Kusz D, Cielinski L| title=Peripheral nerve compression neuropathy after fractures of the distal radius. | journal=J Hand Surg Br | year= 2006 | volume= 31 | issue= 3 | pages= 256-60 | pmid=16376003 | doi=10.1016/j.jhsb.2005.09.021 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16376003  }} </ref><ref name="pmid20494751">{{cite journal| author=Kleinman WB| title=Distal radius instability and stiffness: common complications of distal radius fractures. | journal=Hand Clin | year= 2010 | volume= 26 | issue= 2 | pages= 245-64 | pmid=20494751 | doi=10.1016/j.hcl.2010.01.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20494751  }} </ref><ref name="pmid24642190">{{cite journal| author=Walenkamp MM, Goslings JC, Beumer A, Haverlag R, Leenhouts PA, Verleisdonk EJ et al.| title=Surgery versus conservative treatment in patients with type A distal radius fractures, a randomized controlled trial. | journal=BMC Musculoskelet Disord | year= 2014 | volume= 15 | issue=  | pages= 90 | pmid=24642190 | doi=10.1186/1471-2474-15-90 | pmc=4234244 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24642190  }} </ref><ref>{{cite book | last = Hove | first = Leiv | title = Distal radius fractures : current concepts | publisher = Springer | location = Heidelberg | year = 2014 | isbn = 9783642546037 }}</ref><ref>{{cite book | last = Azar | first = Frederick | title = Campbell's operative orthopaedics | publisher = Elsevier | location = Philadelphia, PA | year = 2017 | isbn = 9780323433808 }}</ref>
*[[Pain]]
*[[Swelling]]
*Restricted [[wrist]] movements
*[[Deformity]]
*[[Grip  strength]] weakness
*[[Paresthesia|Tingling]] and [[Paresthesia|numbness]] in [[hand]]


===Examination===
===Common Symptoms===
Deformity, tenderness and loss of wrist motion are normal features on examination of a patient with a distal radius fracture. Swelling is common. Broadening of the wrist can be perceived. Radial styloid and ulnar styloid may be at the same level. Examination should rule out a skin wound which might suggest an open fracture, loss of sensation or loss of circulation to the hand.
Common symptoms of [[distal radius fracture]] include:
*[[Pain]]
*[[Deformity]]
*Restricted [[wrist]] movements


===Injuries associated===  
===Less Common Symptoms===
[[Scaphoid_fracture|Scaphoid fracture]]; wrist dislocation. Injuries to the elbow, humerus and shoulder are also common after a FOOSH (fall on out-stretched hand). Swelling and displacement can cause an acute [[carpal tunnel syndrome]].
Less common symptoms of [[distal radius fracture]] include:
*[[Swelling]]
*Grip strength weakness
*[[Paresthesia|Tingling and numbness]] in [[hand]]


==References==
==References==
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[[Category:Orthopedics]]
[[Category:Orthopedics]]
[[Category:Orthopedic surgery]]
[[Category:Orthopedic surgery]]
[[Category:Primary care]]
[[Category:Fractures]]
[[Category:Fractures]]
[[Category:Bone fractures]]

Latest revision as of 21:25, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]

Overview

A positive history of pain, deformity, and restricted wrist movements is suggestive of distal radius fracture.

History and Symptoms

History

Patients with distal radius fracture may have a positive history of:[1][2][3][4][5]

Common Symptoms

Common symptoms of distal radius fracture include:

Less Common Symptoms

Less common symptoms of distal radius fracture include:

References

  1. ↑ Bienek T, Kusz D, Cielinski L (2006). "Peripheral nerve compression neuropathy after fractures of the distal radius". J Hand Surg Br. 31 (3): 256–60. doi:10.1016/j.jhsb.2005.09.021. PMID 16376003.
  2. ↑ Kleinman WB (2010). "Distal radius instability and stiffness: common complications of distal radius fractures". Hand Clin. 26 (2): 245–64. doi:10.1016/j.hcl.2010.01.004. PMID 20494751.
  3. ↑ Walenkamp MM, Goslings JC, Beumer A, Haverlag R, Leenhouts PA, Verleisdonk EJ; et al. (2014). "Surgery versus conservative treatment in patients with type A distal radius fractures, a randomized controlled trial". BMC Musculoskelet Disord. 15: 90. doi:10.1186/1471-2474-15-90. PMC 4234244. PMID 24642190.
  4. ↑ Hove, Leiv (2014). Distal radius fractures : current concepts. Heidelberg: Springer. ISBN 9783642546037.
  5. ↑ Azar, Frederick (2017). Campbell's operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323433808.

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