Abstract
Dr. John Larkin: A 38-year-old white male laborer was involved in an automobile collision and was thrust against the instrument panel of his vehicle. The back of his wrist struck the panel and the patient reports that his wrist was palmar flexed forcibly at the time of his injury. He sustained a contusion of the scalp and a fractured wrist. Examination in the emergency ward at the Massachusetts General Hospital showed no evidence of brain damage or significant systemic injury. X-ray films showed a volar marginal fracture of the distal articular surface of the radius with anterior subluxation of the distal fragment and of the carpal bones (Fig 1). An axillary block was performed and reduction of the fracture was attempted. The wrist was positioned in 25° of wrist dorsiflexion and neutral forearm rotation, as is recommended in most standard fracture textbooks. Follow-up x-ray films showed persistent anterior subluxation of
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: JAMA: The Journal of the American Medical Association
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
