NOT all wrist injuries are "clinical scaphoid"

A couple of interesting ones from today's clinic.  The first's an easy one for you.  Notes document a fall (now 10/7 ago) with tenderness in the ASB, non tender distal radius, and pain on telescoping the thumb and on opposition.  In clinic his swelling was localised just proximal to Listers tubercle, and point tender there only.  What's the diagnosis?

That's right - a distal radius fracture.  it's harder to see on the AP but it looks to be a styloid fracture into the articular surface...

A fair number of the referrals to clinic turn out to be these radial styloid fractures and so be careful to palpate thoroughly around the distal radius as well as the ASB.  The history can sometimes help as they most commonly happen as traction injuries as the wrist is forced into ulnar deviation and supination.