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Hand & Upper Limb
intermediate
X-Type

Distal Radius Fracture Management

Wrist Fractures

A 62-year-old woman falls on her outstretched hand. X-rays show a distal radius fracture with 20° dorsal angulation, 3mm radial shortening, and disruption of the volar cortex with a small triangular fragment (die-punch fragment). The DRUJ appears widened. She has minimal swelling and full finger motion. Her dominant wrist is affected and she works as an accountant. Regarding distal radius fracture management:

Mark each as TRUE or FALSE

A

Acceptable reduction parameters in adults include radial height loss less than 5mm, radial inclinati...

B

Instability factors predicting loss of reduction include age greater than 60, dorsal comminution, in...

C

Acceptable reduction allows 30° dorsal angulation in adults; radial inclination of 10° is normal; ar...

D

The DRUJ must be assessed in all distal radius fractures; widening on X-ray suggests instability; cl...

E

Volar locking plate technique: FCR approach between FCR tendon and radial artery, pronator quadratus...

Answer the questions to see explanations

Click T (True) or F (False) for each option