
16/07/2025
A 80+ yrs female patient was admitted in medicine unit in hospital ICU with a history of fall at home after an attack of CVA, a consultation call was given to me for a deformity in Lt wrist.
On examination a classic dinner fork deformity at wrist was apprecited with swelling and blisters at volar aspect of wrist.
Also on both hands there was partial amputated digits s/o leprosy.
An xray was carried out and a distal end radius with ulna styloid fracture was identified.
As the patient was not deemed fit for surgery, appropriate counselling was done and closed reduction of fracture was done under hematoma block with prior septic aspiration of blister and appropriate dressing of the blister and after reduction the limb was placed in an above elbow slab due to gross swelling and blister management.