FOOSH type injury on left.
No prior trauma, surgeries, carcinoma or corticosteroid/opioid regimen reported.
What do you see?
PA view of left wrist.
A transversely oriented radiolucency is present
at the distal portion of the radial styloid process.
PA close up of left wrist.
The close up view shows a vertical vertical fracture line with soft tissue swelling adjacent to the ulnar styloid process.
Intra-articular extension is a worrisome radiographic concern.
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Lateral view of the left wrist showing dorsal displacement.
Distal radial styloid fracture considerations:
- Is there osteopenia ?
- Is there soft-tissue injury?
- Is the fracture simple or comminuted?
- Is there intraarticular (radiocarpal or distal radioulnar joint involvement)?
- Is there displacement? Is there abnormal dorsal or, less likely, volar tilt of the articular surface?
- Is there subluxation or dislocation of the distal radioulnar joint?
- Is there fracture of the ulnar styloid?Read More: https://www.ajronline.org/doi/10.2214/AJR.13.12140
REFERENCES:
- Fracture of the Distal Radius: Epidemiology and Premanagement Radiographic Characterization
Jack A. Porrino, Jr.1, Ezekiel Maloney1, Kurt Scherer1, Hyojeong Mulcahy (1)(https://www.ajronline.org/doi/10.2214/AJR.13.12140)