![]() The presence of swelling in the snuff box is variable, as some cases present with no swelling. ![]() Signs to watch for in an associated scaphoid fracture include tenderness to direct palpation over the anatomic snuff box, swelling, and pain with wrist and thumb movements, as well as with gripping activities. This fracture can be sometimes overlooked due to the more pressing displacement of the distal radius. This is also the direct mechanism of fracture of the scaphoid carpal bone. The most common mechanism of injury for a distal radius fracture is a fall on an outstretched hand, or FOOSH injury. I chose to focus this post on the following common forms of chronic pain after distal radius fracture: Scaphoid fractures, TFCC tears, Distal radioulnar joint instability/ulnar impaction syndrome, carpal instability and Extensor Pollicis Longus rupture. Post-traumatic arthritis is common, yet takes longer to set in and may occur after discharge from therapy. Vascular injury and nerve injury can occur, however these are most likely to be picked up by the referring physician before they enter your clinic. These injuries are not always managed by a specialized hand surgeon, so it is important for therapists to be aware of some of the more common complications following this fracture. Whether these fractures are intra- or extra-articular non-operative or post-operative, complications following this fracture often arise. One of the most common fractures seen, comprising about 13% of all fractures, is the distal radius fracture. With these weather conditions comes an increase in the amount of slip and fall injuries seen by doctors and therapists. It is the time of year (at least here in the Northeast United States) where snow starts falling and the ground becomes icy. A Review of Several Complications Following Fracture of the Distal Radius He currently practices at Sturdy Orthopedics and Sports Medicine Associates in Attleboro MA. He is adjunct faculty at Northeastern University, teaching courses in orthopedics and differential diagnosis. He is a board certified specialist in orthopedics and also a certified strength and conditioning specialist. He also graduated from Temple University with a Doctor of physical therapy degree. He graduated from Northeastern University with a bachelors in PT and a master of science degree. Trevor has been practicing PT for over 8 years. Your may recognize the name, Trevor is a frequent commenter here on this website. This week’s guest post is from Trevor Winnegge PT, DPT, MS, OCS, CSCS.
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