1. Case 2 84 year old female Kenneth Koncilja Aravind Reddy Meghan Kaumaya Andrew Williams

2. Presentation 84 yr. old ♀ falls Landed on wrists “Crack” on fall Right wrist (RW) –Swelling –Discoloration –Pain Figure 2.1 Broken wrist presenting swelling, discoloration, pain, and dorsal angulation. http://www.jimwcoleman.com/photoblog/050605%20broken%20s%20wrist.JPG 11.22.2009

3. Vitals Blood Pressure: 140/80 Pulse: 78 Rhythm: Regular Temperature: 98.9F Respiratory rate: 19 Height: 5’1” Weight: 130 lbs. HEENT examination: Normal All other systems: Normal Figure 2.2 Physician taking vital signs of patient presenting with injured wrist. http://www.welchallyn.com/images/corporate/a pplication%20images/Spot%20LXI_wireless.jpg 11.22.09

4. Musculoskeletal Exam Left upper and both lower limbs are normal Right wrist- swelling, tenderness Inability to hold or lift Abnormal dorsal angulation of the wrist Shorting of the radial aspect of the right forearm

5. Pertinent Anatomy Styloid Process Distal Radius Scaphoid Medial nerve –Flexor carpi radialis –Palmaris longus

6. Radiology of Common Fractures

7. Anatomical Motions Extension/Flexion –“Snuff box” muscles –Innervated radial Hold/lift object ABuction/adduction