The wrist is a very commonly injured organ. In this article wrist injuries, x-rays and clinical photographs are being presented.
Wrist injuries can involve distal radius, ulna and wrist bones or carpal bones. Here is a normal x-ray of the wrist.
Image 1 – Xray of Wrist Showing Fracture of Distal Radius [Colles Fracture]
The x-ray belongs to 43 years old female who fell from the stairs.
Image 2 – Xray of Undisplaced Fracture of Distal Radius
Image 3 – Xray Showing Fracture of Radial and Ulnar Styloid
Xray of fracture of radial and ulnar styloid process in 43 years old male.
Image 4 – Photograph and Xrays of Volar Distal Radial Plate
Volar distal radial plating is done for fractures of distal radius which require open reduction and internal fixation. The plate is called volar because it is placed on the volar aspect or the part of the forearm in the same side as palm.
Xray of the wrist after two months of surgery.
The fracture in the x-ray is well united.
Image 5 – Volar Barton Fracture of Distal Radius- Lateral Xray
Volar – Towards the palmar side
Dorsal – To side opposite where the palm is.
The patient was treated with open reduction and internal fixation using a volar buttress plate.
Image 6 – Xray Of Wrist Showing Fracture of Styloid Process Of Radius
Fractures of radial styloid are not less common than fractures of distal metaphyses of the radius bone. Here is an x-ray that I wanted to share with you.
The x-ray belongs to 39 years old male who had a fall from height.
The fractures treatment can be nonoperative in form of a plaster cast or may involve reduction and fixation by means of K-wires or screw.
The prognosis is usually good.
Image 7 – Xray of Distal End Of Radius And Ulna In 9 Years Old Child
A 9-year-old child fell from a height and suffered injury around his wrist. The x-ray revealed minimally displaced of the lower end of radius and ulna.
The patient was treated with plaster of Paris cast and is doing quite fine.
Image 8 – Vertical Intra-articular Fracture In Distal End Radius
Following x-ray belongs to a young man of 31 years old who fell from the fence and suffered trauma in the right wrist.
The x-ray revealed an intraarticular fracture of distal end radius in a vertical fashion.
Interestingly, the patient refused any treatment and wanted to get massaged by an osteopath.
Image 9 – Distal Radius Type II Epiphyseal Slip Treated By Closed Reduction & Kwire Fixation
This x-ray belongs to a 16-year-old boy who had a fall and complained of pain in elbow and wrist following the injury. The x-ray revealed distal epiphyseal injury and supracondylar fracture in humerus ipsilaterally. Xray of elbow also revealed bent k-wires. The child had been operated in childhood for fracture of lateral condyle with K-wire fixation.
The x-ray above is 7 days after the surgery.
Image 10 – Xray of Fracture Of Distal Radius
It might be difficult to appreciate on this view
Image 11 – United Fracture Distal End Radius With Volar Plate In Situ
First the AP view
And now the lateral view
The bone profile is better visualized in the lateral view.
Image 12 – Minimally Displaced Fracture Distal Radius With Extension To Shaft
The patient was treated with a plaster cast.
Image 13 – Fracture Distal End Radius With Kwires In Situ and Below Elbow Slab – Xray
Also visible is the shadow of plaster.
Image 14 – Xray of Malpositioned Volar Barton Fracture In Plaster Cast
Xray of volar Barton fracture in malposition in a plaster cast
The fracture fragment is still displaced volarward.
Image 15 – Fracture Distal Radius In Child WIth Ulnar Bowing
The patient was treated with closed reduction and above elbow plaster slab followed by plaster cast at a later date.
Image 16 – Xray of Operated Distal Radius and Ulna In Child
The K-wires were passed under C-arm control after closed reduction of the fracture.
Image 17 – Distal Radial Epiphysis Slip In 10 Years Old Child
10 years old child fell from a tree and got wrist injury. His x-ray showed an epiphyseal slip of distal radius.
He was treated with closed reduction and above elbow cast.
Image 18 – Xray of Fracture Distal Radius With Fracture Ulnar Styloid
Image 19 – Xray of Minimally Displaced Fracture of Distal Radius
Image 20 – Fracture Distal End Radius with Fracture Ulnar Styloid
The fracture was sustained following a fall from a motorbike.
Image 21 – Xay of Fracture Distal Radius Treated By Closed Reduction and K-wires
The x-ray was taken after about a week of surgery.
Image 22 – Xray of Undisplaced Fracture of Ulna In Distal Region
The patient was treated with above elbow plaster cast.
Image 23 – AP and Lateral Xray of Forearm Showing Fracture of Distal Radius and Ulna In A Child
Six years old child with a history of fall from height and injury to forearm near the wrist.
Xray revealed a fracture of both radius and ulna with mild displacement.
The fracture was reduced under C-arm image intensifier control and above elbow cast was applied.
Image 24 – Undisplaced Fracture of Distal Fourth of Radius In 14 Years Old
The patient was treated with a below elbow plaster cast.
Image 25 – Xray of Fracture of Radius In Distal Fourth of Bone in 14 Years Old Child
Xray of fracture of the radius in 14 years old male. The patient fell while playing Kabaddi in the school.
Closed reduction and internal fixation was done using k-wires and an above elbow plaster splint was applied.
Image 26 – Xray of Volar Barton Fracture of Distal Radius
The patient was advised open reduction and internal fixation using a volar plate for radius but the patient refused any surgery.
The option of ligamentotaxis was also discussed using an external fixation device but refused.
The limb was splinted with plaster slab. The patient never followed up.
Image 27 – Xray of Fracture Distal Radius Ulna in 5 Years Old Child
Closed reduction and above elbow slab was given to the child.
Image 28 – Xray of Fracture Distal Radius Ulna in 5 Years Old Child
Closed reduction and above elbow slab was given to the child.
Image 29 – Xrays of Comminuted Fracture Distal End Radius
The fracture was treated with closed reduction and below elbow cast.
Image 30 – Vertical Undisplaced Fracture Distal End Radius
The fracture was treated by below elbow cast.
Image 31 – Xray of Fracture Shaft of Radius with Fracture of Ulnar Styloid with Distal Radio-Ulnar Joint Disruption
Other associated information not available with the file.
Image 32 – Xray of Volar Barton Fracture
Volar Barton fracture is a type of injury to distal radius. It is an intraarticular fracture where the fractured fragment is displaced towards the volar side. Volar aspect of the limb is on the side where your palm is.
These are common injuries in young people who sustain high energy trauma.
Though there is closed reduction treatment described, frequently these patients require open reduction and internal fixation.
The x-ray belongs to 29 years old female who sustained this injury following a motor vehicle accident.
She was treated eventually with buttress plate.
Image 33 – X-ray of Nonunion of Fracture of Scaphoid
The x-ray being shown belongs to 18 years old male who came to us after three months of initial injury. He complained of pain in his left wrist especially on lifting the weight.
The patient had sought medical help at the time of initial injury but passed as soft tissue injury only.
The x-ray when he came to us shows an ununited fracture of the scaphoid bone.
The patient was treated successfully with open reduction, internal fixation, and bone graft.
It is a common occurrence to miss the scaphoid fractures. The fracture line may not be visible at the time of the initial x-ray. A repeat x-ray at the interval of two weeks must be done if there is a tenderness in the scaphoid area [Snuff box].
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