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Wrist Fractures: What the Clinician Wants to Know¹

¹ From the Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S Kingshighway Blvd, St Louis, MO 63110 (Y.Y., L.A.G.); the Department of Orthopaedic Surgery, Washington University Medical School, St Louis, Mo (C.A.G., M.I.B.); and Radiology Imaging Associates, Englewood, Colo (A.J.F.). Received March 23, 1999; revision requested May 21; revision received December 28; accepted February 1, 2000. Address correspondence to L.A.G. (e-mail: gilulal@mir.wustl.edu).

With the recent improvements in diagnosis and treatment of distal radius and carpal injuries, the hand surgeons’ expectations of relevant radiologic interpretation of imaging studies are heightened. Conventional radiographic examinations, as well as more sophisticated and invasive studies, have important roles in the evaluation of wrist fractures and dislocations. On the basis of physical examination results and the mechanism of injury, the onus is on the examining surgeon to pinpoint potential sites of bone or ligament disruption. After this evaluation, appropriate imaging studies appropriately performed and interpreted will help direct treatment and improve outcome with greater clarity and certainty.

Index terms: Bones, CT, 43.1211 • Wrist, fractures, 43.41 • Wrist, MR, 43.12141, 43.121415 • Wrist, radiography, 43.11

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