Ortho Case of the Week – Wrist
Case 1: A previously healthy, right handed 52 year old male presents with a chief complaint of right hand pain occurring immediately after a fall on outstretched hand (FOOSH) injury 3 hours prior to arrival.
- What is your full read of the x-rays below?
- What nerve is most commonly concurrently injured, and how would you test it?
- How would you treat this injury if you were in a community ED without an orthopedics service at your beck and call? What splint would you use?
Case 2: A previously healthy, right handed 45 year old female presents with a chief complaint of right wrist pain occurring immediately after a FOOSH injury just prior to arrival. There is tenderness over the anatomical snuffbox and with axial loading of the thumb.
- What is your full read of the x-rays below?
- What is the feared complication from this injury?
- How would you treat it?
- What if the same patient had normal x-rays? How would you treat it?
