Distal radius fracture differential diagnosis: Difference between revisions
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Distal radius fracture must be differentiated from wrist strain, ligamentous carpal injury such as scapholunate ligament and triangular fibrocartilage complex (TFCC) tear. | Distal radius fracture must be differentiated from wrist strain, ligamentous carpal injury such as scapholunate ligament and triangular fibrocartilage complex (TFCC) tear. | ||
==Differentiating | ==Differentiating Distal Radius Fracture 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. | * 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.<ref name="pmid8423324">{{cite journal| author=Trumble TE, Benirschke SK, Vedder NB| title=Ipsilateral fractures of the scaphoid and radius. | journal=J Hand Surg Am | year= 1993 | volume= 18 | issue= 1 | pages= 8-14 | pmid=8423324 | doi=10.1016/0363-5023(93)90237-W | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8423324 }} </ref><ref name="pmid9726557">{{cite journal| author=Stoffelen D, De Mulder K, Broos P| title=The clinical importance of carpal instabilities following distal radial fractures. | journal=J Hand Surg Br | year= 1998 | volume= 23 | issue= 4 | pages= 512-6 | pmid=9726557 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9726557 }} </ref><ref name="pmid12457345">{{cite journal| author=May MM, Lawton JN, Blazar PE| title=Ulnar styloid fractures associated with distal radius fractures: incidence and implications for distal radioulnar joint instability. | journal=J Hand Surg Am | year= 2002 | volume= 27 | issue= 6 | pages= 965-71 | pmid=12457345 | doi=10.1053/jhsu.2002.36525 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12457345 }} </ref><ref name="pmid16039453">{{cite journal| author=Lindau T| title=Treatment of injuries to the ulnar side of the wrist occurring with distal radial fractures. | journal=Hand Clin | year= 2005 | volume= 21 | issue= 3 | pages= 417-25 | pmid=16039453 | doi=10.1016/j.hcl.2005.04.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16039453 }} </ref> | ||
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Revision as of 21:26, 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 Distal Radius Fracture 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.[1][2][3][4]
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||||
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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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References
- ↑ Trumble TE, Benirschke SK, Vedder NB (1993). "Ipsilateral fractures of the scaphoid and radius". J Hand Surg Am. 18 (1): 8–14. doi:10.1016/0363-5023(93)90237-W. PMID 8423324.
- ↑ Stoffelen D, De Mulder K, Broos P (1998). "The clinical importance of carpal instabilities following distal radial fractures". J Hand Surg Br. 23 (4): 512–6. PMID 9726557.
- ↑ May MM, Lawton JN, Blazar PE (2002). "Ulnar styloid fractures associated with distal radius fractures: incidence and implications for distal radioulnar joint instability". J Hand Surg Am. 27 (6): 965–71. doi:10.1053/jhsu.2002.36525. PMID 12457345.
- ↑ Lindau T (2005). "Treatment of injuries to the ulnar side of the wrist occurring with distal radial fractures". Hand Clin. 21 (3): 417–25. doi:10.1016/j.hcl.2005.04.002. PMID 16039453.