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Radial Styloid Fracture

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Other Names

  • Hutchinson Fracture
  • Chauffeur's Fracture

Background

  • Fracture of the radial styloid on the distal Radius
  • Can occur as isolated fracture or in conjunction with other injuries

Pathophysiology

  • Trauma with wrist in ulnar deviation and supination
  • Radiocarpal ligaments avulse radial styloid from metaphysis
  • Can be seen in conjunction with Lunate Dislocation, Perilunate Dislocation or other carpal instability

Risk Factors


Differential Diagnosis

Distal Radius Fractures

Differential Diagnosis Wrist Pain


Clinical Features


Evaluation

Radiographs

CT scan

  • Important to evaluate intra-articular component

MRI

  • Evaluate for soft tissue injuries

Classification

  • N/A

Management

Nonoperative

Operative

  • Indications
    • Open
    • Carpal instability

Return to Play

  • Nonoperative will require at least 6 weeks
  • Surgically managed cases at the discretion of the surgeon

Complications


See Also


References

Created by:
John Kiel on 4 July 2019 07:02:17
Authors:
Last edited:
27 October 2020 17:16:25
Categories:
Trauma | Osteology | Wrist | Forearm | Upper Extremity | Fractures | Acute