Wrist Fractures: What the Clinician Wants to Know

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 1.50
Procedures: 1.50
Head, Spine, and Musculoskeletal: 1.50

Magnetic Resonance Imaging: 1.50
Procedures: 1.50
Musculoskeletal: 1.50

Nuclear Medicine Technology: 0.75
Procedures: 0.75
Other Imaging Procedures: 0.75

Radiography: 1.50
Procedures: 1.50
Extremity Procedures: 1.50

Registered Radiologist Assistant: 3.00
Patient Care: 1.50
Patient Management: 1.50
Procedures: 1.50
Musculoskeletal and Endocrine Sections: 1.50

Outline

1. Anatomy
2. Distal Radius Fractures
3. Anatomy
4. Imaging Assessment
   1. Classification
   2. Treatment
5. Distal Radius Malunion
6. Carpal Fractures
   1. Scaphoid Fractures
   2. Lunate Fractures
   3. Triquetrum Fractures
   4. Trapezium Fractures
   5. Pisiform Fractures
   6. Hamate Fractures
   7. Capitate Fractures
   8. Trapezoid Fractures
7. Conclusion

Objectives

Upon completion of this course, students will:

1. be able to identify the capitate
2. be able to identify the ulna
3. be able to identify the trapezium
4. be able to identify the radius
5. be able to identify the scaphoid
6. be able to identify the lunate
7. be able to identify the radius
8. know which bones the distal radius articulates with
9. understand what percentage of fractures seen acutely in the emergency department those of the distal radius account for
10. be familiar with the three concave surfaces on the distal radius
11. know which is the only view that demonstrates the trapeziotrapezoidal joint
12. understand the clinical applications of CT of the distal radius, ulna and carpus
13. understand the applications of coronal CT to the wrist
14. understand the applications of MR imaging to the wrist
15. know the definition of Radial Length
16. know the definition of Radial Inclination
17. know the definition of Volar Tilt of the Distal Radius
18. understand the characteristics of a Barton fracture
19. understand the characteristics of a Hutchinson fracture
20. be familiar with the Melone classification
21. be familiar with the other systems for the classification of distal radius fractures
22. know when a patient should be seen for repeat radiography following an anatomic reduction of a distal radius fracture
23. understand the treatment options for the 4 types of fractures
24. understand the incidence of distal radius fracture healing in a nonanatomic position
25. know the degree of detail CT can provide
26. be familiar with the distribution of forces normally borne through the distal radius and ulna
27. know the factors which contribute to the development of posttraumatic osteoarthritis of the wrist
28. name the second most common wrist fracture
29. understand the relationship between fractures and osteoarthritis
30. understand the distribution of fractures of the scaphoid
31. know the proper position for obtaining CT sections through the long sagittal axis of the scaphoid
32. list the geometric factors considered an abnormal combination when evaluating scaphoid fractures
33. understand the clinical characteristics of lunate fractures
34. know the definition of Kienböck disease
35. understand the clinical characteristics of triquetrum fractures
36. understand the clinical characteristics of trapezium fractures
37. understand the clinical characteristics of pisiform fractures
38. understand the clinical characteristics of hamate fractures
39. understand the clinical characteristics of capitate fractures
40. know the indications for CT or MR imaging of the trapezoid