PT  - JOURNAL ARTICLE
AU  - Mazin Al-salihy
AU  - Carlo Ross
TI  - Pucker sign in an adult distal radial fracture
AID  - 10.1136/bcr-2018-228046
DP  - 2019 Apr 01
TA  - BMJ Case Reports
PG  - e228046
VI  - 12
IP  - 4
4099  - http://casereports.bmj.com/content/12/4/e228046.short
4100  - http://casereports.bmj.com/content/12/4/e228046.full
SO  - BMJ Case Reports2019 Apr 01; 12
AB  - 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.