Distal radius fracture differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Distal radius fracture must be differentiated from wrist strain, ligamentous carpal injury such as scapholunate ligament and triangular fibrocartilage complex (TFCC) tear. | |||
==Differentiating [Disease name] from other Diseases== | ==Differentiating [Disease name] from other Diseases== | ||
* Distal radius fracture must be differentiated from other diseases that wrist pain, restriction of movements, and deformity, such as wrist pain, ligamentous carpal injury such as scapholunate ligament and triangular fibrocartilage complex (TFCC) tear. | |||
{| | {| | ||
|- style="background: #4479BA; color: #FFFFFF; text-align: center;" | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
! rowspan="4" | ! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
| colspan="6" rowspan="1" | | colspan="6" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Clinical manifestations''' | ||
! colspan=" | ! colspan="3" rowspan="2" |Para-clinical findings | ||
| colspan="1" rowspan="4" | | colspan="1" rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard''' | ||
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;|Additional findings | ! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Additional findings | ||
|- | |- | ||
| colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;|'''Symptoms''' | | colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Symptoms''' | ||
! colspan="3" rowspan="2" | ! colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical examination | ||
|- | |- | ||
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center; | ! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging | ||
|- | |- | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ||
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Restriction of Movements | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Deformity | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Tenderness | ||
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Decreased Grip Strength | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Decreased sensation in course of Median nerve | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |X-ray | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |CT scan | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center; | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |MRI | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center; | |||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Distal radius fracture | ||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |+/- | ||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Distal fragment displacement | |||
* Distal fragment angulation | |||
* Radial shortening | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Useful for preoperative surgical planning for patients with complex, multifragmentary fractures. | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Useful in diagnosing occult fractures, ligamentous and soft tissue injuries | |||
| style="background: #F5F5F5; padding: 5px;" |X-ray | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Wrist strain | ||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |- | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |- | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |- | ||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* No evidence of fracture on radiographs | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* No evidence of fracture on CT | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Soft tissue swelling and tear may be seen | |||
| style="background: #F5F5F5; padding: 5px;" |MRI | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Ligamentous carpal injury | ||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |+/- | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |- | |||
| style="background: #F5F5F5; padding: 5px;" |- | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* No evidence of fracture on radiographs | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* No evidence of fracture on CT | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Swelling and tear of the ligament may be seen | |||
| style="background: #F5F5F5; padding: 5px;" |MRI | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Most common injury is scapholunate ligament tear with widening of the scapholunate interval. | |||
* Positive Watson shift test. | |||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Triangular fibrocartilage complex (TFCC) tear | ||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |+/- | |||
| style="background: #F5F5F5; padding: 5px;" |- | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |- | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |- | ||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | |||
|- | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* No evidence of fracture on radiographs | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* No evidence of fracture on CT | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Swelling and tear of the ligament may be seen | |||
| style="background: #F5F5F5; padding: 5px;" |MRI | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Wrist arthroscopy can be useful in visualizing and repairing TFCC tear | |||
|} | |} | ||
Revision as of 21:23, 13 December 2018
Distal radius fracture Microchapters |
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Distal radius fracture differential diagnosis On the Web |
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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
Distal radius fracture must be differentiated from wrist strain, ligamentous carpal injury such as scapholunate ligament and triangular fibrocartilage complex (TFCC) tear.
Differentiating [Disease name] from other Diseases
- Distal radius fracture must be differentiated from other diseases that wrist pain, restriction of movements, and deformity, such as wrist pain, ligamentous carpal injury such as scapholunate ligament and triangular fibrocartilage complex (TFCC) tear.
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms | Physical examination | ||||||||||
Imaging | |||||||||||
Pain | Restriction of Movements | Deformity | Tenderness | Decreased Grip Strength | Decreased sensation in course of Median nerve | X-ray | CT scan | MRI | |||
Distal radius fracture | + | + | + | + | + | +/- |
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X-ray | |
Wrist strain | + | + | - | + | - | - |
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MRI | |
Ligamentous carpal injury | + | + | +/- | + | - | - |
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MRI |
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Triangular fibrocartilage complex (TFCC) tear | + | +/- | - | + | - | - |
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MRI |
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