Distal radius fracture physical examination

Distal radius fracture Microchapters
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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].

Physical Examination

Physical examination of patients with distal radius fracture is usually remarkable for swelling, tenderness, bruises, ecchymosis, deformity and restricted range of motion 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