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Ortho Hors D'oeuvres (Prompt):

Patient is a 63 year-old right-handed man who fell on the ground while getting out of the tub yesterday. He caught himself on his left hand and has been icing his wrist since. On exam:

Fx_radius.JPG

​X-rays show:

colles-fracture-1.jpg

Questions:

1) What is the key finding on x-ray? What is its eponym?

2) What are important neurovascular structures possibly endangered by this lesion?

3) Does it need a closed reduction? What measurements can be used to verify an adequately reduced fracture?

 
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