Distal radius fracture physical examination
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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
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
Physical examination of patients with [disease name] is usually remarkable for swelling, bruises, ecchymosis and deformity of the wrist.
Appearance of the Patient
- Patients with distal radius fracture usually appears well.
Vital Signs
- Weak pulse may be seen when associated with polytrauma.
- Low blood pressure with normal pulse pressure may be present due to compound fracture with blood loss.
Skin
- Skin examination of patients with distal radius fracture includes:
- Bruises
- Ecchymosis
HEENT
- HEENT examination of patients with distal radius fracture is usually normal.
Neck
- Neck examination of patients with distal radius fracture is normal.
Lungs
- Pulmonary examination of patients with distal radius fracture is usually normal.
Heart
- Cardiovascular examination of patients with distal radius fracture is usually normal.
Abdomen
- Abdominal examination of patients with distal radius fracture is usually normal.
Back
- Back examination of patients with distal radius fracture is usually normal.
Genitourinary
- Genitourinary examination of patients with distal radius fracture is usually normal.
Neuromuscular
- Neuromuscular examination of patients with distal radius fracture is usually normal.
- However, some patients may develop neuropraxia of the superficial branch of the radial nerve (Wartenberg's syndrome) and median nerve resulting in decreased sensation of thumb, index and middle finger.
Extremities
- Wrist examination of patients with distal radius fracture include:
- Swelling
- Tenderness
- Dinner fork deformity
- Restricted range of motion
- Tingling and decreased sensation of thumb, index and middle finger