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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,{at}


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

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  • 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.

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