Article Text

Download PDFPDF

CASE REPORT
Pucker sign in an adult distal radial fracture
  1. Mazin Al-salihy1 and
  2. Carlo Ross2
  1. 1 Trauma and Orthopaedics, University Hospital of South Manchester NHS Foundation Trust, Manchester, Manchester, UK
  2. 2 Medicine, University of Manchester, Manchester, Manchester, UK
  1. Correspondence to Dr Mazin Al-salihy, mazin.al-salihy{at}nhs.net

Abstract

Puckering of the skin following a fracture is a rare sign which can result in skin necrosis if the fracture is not urgently reduced. Skin puckering is associated with humeral, tibia and clavicular fractures. We present a case of a 79-year-old woman who fell on to her outstretched hand sustaining a right radial fracture with obvious skin puckering. Following X-rays, local anaesthetic was given and the skin was reduced, the fracture manipulated and a full cast applied. The patient made a full recovery. To our knowledge, this is the first reported case of the pucker sign in an adult radial fracture.

  • orthopaedics
  • radiology
  • orthopaedic and trauma surgery

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors MMA-S conceived of the presented case report. Both authors developed the structure of the case report. MMA-S encouraged CR to further investigate regarding the pucker sign and supervised the findings of this case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.