Wrist and distal forearm x-ray






Radiograph of the wrist showing fracture of the distal radius with dorsal angulation (Colles’ fracture). The reverse would constitute a Smith’s fracture.




Radiograph of the right hand showing a widening of the scapholunate joint (Terry Thomas sign) (arrow).





Examination notes



What injuries should not be missed?




Subtle distal radius fracture: look for normal volar tilt of radius, radius distal to ulnar (AP view) and smooth cortical outline (lateral view).



Carpal fractures: normally waist of scaphoid intact.



Lunate/perilunate dislocation – capitate normally sits in lunate (lateral view).

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Feb 18, 2017 | Posted by in GENERAL SURGERY | Comments Off on Wrist and distal forearm x-ray

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