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Chauffers Fracture

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Other Names

  • Chauffeur's Fracture
  • Hutchinson Fracture
  • Backfire Fractures

Background

  • This page refers to Chauffer's fracture which is defined as an itra-articular fracture of the radial styloid process

History

  • Name related to started a hand crank car which would occasionally result in the crank rapidly spinning backwards out of the driver's grasp and striking the back of the wrist

Epidemiology

  • Prevalence, incidence poorly defined in the literature

Pathophysiology


Risk Factors


Differential Diagnosis

Distal Radius Fractures

Differential Diagnosis Wrist Pain


Clinical Features

  • General: Physical Exam Wrist
  • Pain, swelling, ecchymosis in wrist
  • Deformity may or may not be present depending on degree of displacement

Evaluation

PA Wrist - Chauffer's Fracture

Radiographs

  • Standard Radiographs Wrist initially
  • Sufficient to make diagnosis
  • Fracture typically extends through lateral cortex of distal radius separating radial styloid
  • Fracture fragment may not be displaced

CT Scan

  • Evaluate for intra-articular involvement, surgical planning

MRI

  • Evaluate for concurrent soft tissue injuries

Classification

  • Exists, although not commonly used

Management

Nonoperative

  • Acceptable closed reduction
    • < 2mm articular stepoff
    • < 5mm shortening
    • < 10° dorsal tilt

Operative

  • Surgical Indications
    • Radial shortening > 3 mm
    • Dorsal tilt > 10º
    • Intra-articular displacement
    • Step-off > 2 mm

Return to Play

  • Needs to be updated

Complications


See Also


References


Created by:
John Kiel on 4 July 2019 07:02:02
Authors:
Last edited:
27 October 2020 17:11:56
Categories:
Trauma | Osteology | Wrist | Forearm | Upper Extremity | Fractures | Acute