Maine Orthopaedic Review Monthly Challenge

Test Your Knowledge of Bone Fractures

Bruce F. Gomberg, MD; Brad J. Yoo, MD

Disclosures

March 08, 2017

The patient has symptoms of an evolving acute carpal tunnel syndrome, which is known to be associated with distal radius fractures.[1] Initial management for this condition is to relieve all external pressure that may exacerbate the neural compression. The first maneuver should be to release the cast and cast padding. If symptoms do not improve, then surgical decompression of the median nerve at the carpal tunnel would be the next treatment option. Surgical stabilization of the fracture would be indicated at the time of carpal tunnel decompression as well. Observation is not an option in this scenario.

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