Difficulty of making the findings: Moderate
Difficulty of interpreting the findings: Easy

Diagnosis: Buckle fractures

Average Case-Specific Score: 2.49 / 3

Answer Key

Sample Preliminary Report

Acute buckle fractures of the distal radial and ulnar metaphyses.

No intra-articular extension or joint malalignment.

Case-Specific Questions Answers
Acute fracture Yes
Radius fracture Yes
Ulna fracture Yes


User Case Specific Score Preliminary Report
Daniel Kirk 0

I am not sure if there are any abnormalities here.

ayearwood 0

Age indeterminate buckle fracture of the distal radius

sbhupathy 0

Normal

runail.ratnani 0

idk

chin.wells 0

Normal

jay.yang 0

Normal

muhammad.malik 0

Dorsal capitolunate dislocation

diogojorge.vidalsilva 0

Cole Bailey 1

Base of 5th metacarpal fx

jessica.miller.1 2

Distal radial and ulnar metaphyseal buckle fractures. The alignment remains anatomic given the single view. Overlying soft tissue swelling. No additional fractures are noted.

The wrist and elbow remain located. There is no elbow effusion. The growth plates remain open. No radiopaque foreign body.

erica.emmons 2

Buckle fracture within the left radial metadiaphysis concerning for non-accidental trauma. The wrist and elbow remain anatomically aligned. There are no soft tissue abnormalities or radiopaque foreign bodies. Recommend skeletal survey and physical exam to correlate with additional signs of NAT.

oladapo.r.adeniran 2

Left distal radius buckle fracture with mild soft tissue swelling. No dislocation.

danielle.c.mihora.1 2

Buckle fracture of distal ulna and radius

heather.stefek 2

Nondisplaced transverse fracture through the distal radius with no intra-articular extension.

emily.haas 2

cortical irregularity along distal radial diametaphysis, concerning for nondisplaced buckle fracture. surrounding soft tissue swelling. there is posterior dislocation of the distal radioulnar joint

nicholas.guys 2

FINDINGS/IMPRESSION:

There is a non-displaced buckle fracture of the lateral radial metaphysis. Alignment at the wrist and elbow is maintained. No other fractures are seen. The soft tissues are normal.

jennifer.lindsey.1 2

Buckle fracture of the distal radial metaphysis. No other fracture. No malalignment.

kevin.mclean 2

Buckle fracture distal radius, carpal bone fracture

kbolger@wakehealth.edu 2

Nondisplaced acute buckle fracture along the radial aspect of the distal radius.
Query possible buckle fracture along the radial aspect of the distal ulna. Follow up radiograph in 10-14 days can further evaluate if clinically indicated.

twcowan@wakehealth.edu 2

Acute buckle fracture of the distal radial diaphysis.

Michael.Wien 2

buckle fx radius and likely ulna

Justin Little 2

Acute buckle fracture of the distal radial metadiaphysis without malalignment. Mild soft tissue swelling about the wrist. Maintained radiocapitellar line.

Gibson Klapthor 2

Acute buckle fx of the distal radial metaphysis.

Benjamin Daniel 2

Cortical irregularity at the distal radial metaphysis that could represent acute buckle fracture. Consider correlation with point tenderness and/or dedicated wrist radiographs for further evaluation.

Scott Gerwe 2

Buckle fracter at lateral aspect of distal radius. mild surrounding soft tissue edema.

michael.a.kostenko.mil 2

Buckle fracture of the radius.

Jacob Gilchrist 2

Buckle fracture of the distal metaphysics of the radius.

sarah.rosasco 2

Radial buckle fracture

jgerras 2

Acute buckle fracture of the distal radius. Alignment is maintained.

nagar048 2

radial buckle fracture

Gelila Rads 2

fx

blair.lowery 2

acute buckle fracture, distal radius.

Ishmael Raheem 2

Buckle fracture of distal radius

vivian.huang 2

Acute non displaced compression fracture of the distal radial metaphysis.

nicolas.garza 2

acute nondisplaced buckle fracture of the left radial metaphysis.

natalia.eugene 2

Acute, transverse buckle fracture of the distal metadiaphysis of the left radius.

atom 2

There is cortical irregularity along the radial aspect of the radial metaphyseal/diaphyseal junction concerning for a buckle fracture.

bleidl 2

kl

stephen.klaassen 2

An AP and lateral radiograph views of the left wrist are provided. The lateral radiograph is not a true lateral and is slightly obliqued.

A cortical buckling appearance of the left distal radius is present. No dislocation is present. Bone mineralization is normal. No acute soft tissue abnormality is present.

Impression:
Torus/buckle fracture of the left distal radius.

brian.padilla 2

There is a buckle fracture of the distal radius. There is increased linear density at the epiphysis which could represent a type I physeal fracture. No other obvious fracture is present. There is generalized soft tissue edema.

Evan King 2

buckle fx

gwennan.plouzek 2

Non displaced buckle fracture of the distal radius without malalignment. No additional fracture or dislocation visualized. Mild overlying soft tissue swelling.

Bach Le 2

buckle fracture of the distal radius.

abby-reutzel 2

Buckle fracture of the distal radius.

Michael.Hornick 3

Colles fracture

William.parkinson 3

buckle fx distal radius. question additional buckle fracture of distal ulna.

shelby.k.frantz 3

Buckle (torus) fractures of the distal radius and ulna.

kai.wang 3

Left distal radius and ulnar buckle fracture.

jennifer.j.huang 3

Subtle irregularity of the radial aspect of the distal radial metaphysis, as well as of the radial aspect of the distal ulnar metaphysis. These findings likely represent nondisplaced buckle fractures of the radius and ulna.

matthew.smith 3

buckle fracture radius and ulna

thomas.wong 3

nondisplaced buckle fx distal radial and ulnar diaphysis

cameron.henry 3

buckle fractures of the distal radius and ulna

Demo Resident #1 3

Distal radial and ulnar metaphyseal buckle fractures. The alignment remains anatomic given the single view. Overlying soft tissue swelling. No additional fractures are noted.

The wrist and elbow remain located. There is no elbow effusion. The growth plates remain open. No radiopaque foreign body.

coleman.breland 3

Subtle irregularity in the distal metaphysis of the left radius and ulna, representative of buckle fracture of the radius/ulna. No malalignment. Joints are located. Joint spaces are preserved.

jarred.todd 3

Distal radial buckle fx

joseph.hoang 3

Buckle fracture of the distal radial and ulnar metaphysis

Alyssa.mcnamara 3

Buckle fractures of the distal left radius and ulna.

ppolamra@wakehealth.edu 3

buckle fractures-nondisplaced distal ulna/radius.
soft tissue swelling

platterm@wakehealth.edu 3

Buckle fractures of the distal ulnar and distal radial metaphyses. No joint malalignment.

katcheso@wakehealth.edu 3

1) acute buckle fracture of the distal radial metaphysis, not significantly displaced or angulated
2) acute buckle fracture of the distal ulnar metaphysis, without signifcant displacement or angulation.
3) no elbow joint effusion
4) radiocapitellar and radiocarpal joints are maintained.

mamiraul@wakehealth.edu 3

Acute buckle fractures of the radial and ulnar metadiaphysis.

abond@wakehealth.edu 3

Acute nondisplaced buckle fractures of the distal radial and ulnar metaphyses. Near-anatomic alignment is preserved.

Soft tissue swelling about the wrist.

saribind 3

Acute buckle fracture of the distal radial and ulnar metaphyses.

dmsylves@wakehealth.edu 3

Acute buckle fractures of the distal radial and ulnar metaphyses. Soft tissue swelling about the wrist.

ajthomps@wakehealth.edu 3

Acute buckle fractures of the distal radial and ulnar metaphysis. Alignment remains anatomic.

Jessica Hinaman 3

Buckle fxs of the distal radial and ulnar metaphyses. No malalignment.

jaime fields 3

Acute non-displaced buckle fractures of the distal radial and ulnar metaphyses. Overlying soft tissue swelling about the wrist. Dorsal displacement of the distal ulna concerning for dislocation.

Collin Innis 3

Acute buckle fracture of the radial and ulnar metaphyses.

nkdomeisen 3

Acute, nondisplaced buckle fracture of the distal radial metaphysis. Probable acute nondisplaced fracture of the distal ulnar metadiaphysis. No malalignment of the DRUJ.

Adam Petraglia 3

Acute buckle fractures of the distal radial and ulnar metaphyses.

Hayden Barrett 3

Acute buckle fractures of the distal radial and ulnar metadiaphyses.

Soft tissue swelling about the wrist.

Zack Williams 3

Acute distal methaphyseal buckle fracture of the radius with slight dorsal angulation.
Subtle associated distal methaphyseal acute buckle fracture of the ulna.

Ayca-dundar 3

buckle fx

Madison Crank 3

Acute buckle fractures of the lateral aspect of the distal radial and ulnar metadiaphyses. radiocarpal alignment maintained. joint spaces maintained.

cdwilson 3

Acute buckle fracture of the distal radius. Subtle cortical irregularity of the distal ulna could indicate additional acute fracture. No evidence of malalignment.

Deepanshu Singh 3

acute buckle fratures of the distal radial and ulna metadiaphyses.

Emma Baker 3

Acute buckle fractures of the distal radial and ulnar metaphyses.

Achintya Patel 3

Acute buckle fractures of the distal radial and unlar diaphyses without significant malignment.

Rachel Speakman 3

Acute buckle fractures of the distal radial and ulnar metaphyses with minimal apex volar angulation and possible mild dorsal tilt of the distal radius and mild dorsal ulnar subluxation (although positioning may overestimate this).

Elbow joint is located.

Joint spaces are maintained.

Brooks Rodibaugh 3

acute buckle fractures of distal rad and ulna

Dana Vissing 3

Acute buckle fractures of the distal radius and ulnar metaphyses.

aasdf asdgsdg 3

buckle fractures

westbera@musc.edu 3

buckle

brian-grieve 3

Distal radial and ulnar metadiaphyseal buckle fractures. No mal-alignment.

bryan-bozung 3

.

Chris Roberts 3

Acute buckle fracture of the distal radius and ulna diaphyses.

Joint spaces are maintained.

Jordan Aikens 3

Acute buckle fractures of the distal radius and ulna.

Susana Bracewell 3

Buckle fractures of the distal radial and ulnar metaphases.

Kyle Pazzo 3

Acute buckle fracture of the radius and possibly the ulna.

Katherine Johnson 3

Acute buckle fractures of the radial and ulnar metadiaphysis. No malalignment.

Louis Leon 3

Acute buckle radius and ulna

Ryan Staudte 3

buckle fx of distal radius and ulna diaphyses, alignment anatomic.

mborten 3

Acute buckle fractures of the radius and ulna. Mild adjacent soft tissue swelling. No malalignment.

Jennifer Dennison 3

Acute non-displaced buckle fractures to the radial aspect of the distal radial and ulnar metaphases. Soft tissue swelling about the wrist. Joints maintained.

victoria.furlong-servin 3

transverse non-displaced fracture of the distal radius and ulna

ava.mirtsching 3

Buckle fractures of the distal radial and ulnar metadiaphyses.

michael.syrett 3

Torus fx of distal metaphysis of radius and ulna.

salapierre 3

Acute torus fractures of the distal radial and ulnar metaphyses.

maryam.mian 3

Buckle fracture at the distal radial metaphysis. Suspect additional buckle fracture at the distal ulnar metaphysics.

caleb.duggan 3

Buckle fracture of the distal radius and questionable buckle fracture of the distal ulna.

liam.oneill 3

Buckle fracture involving distal radius with possible deformity of ulna
Minimally displaced fracture of base of fifth metacarpal

aur2024 3

radial, possible ulnar buckle fractures

brandon.e.pye.mil 3

buckle fracture

Kevin Reger 3

Acute nondisplaced buckle fracture of the distal radial metaphysis.

Acute nondisplaced buckle fracture of the distal ulnar metaphysis.

jowhite 3

Acute buckle fractures of the distal radius and ulna.

Robert Janiszewski 3

Acute buckle fractures of the distal radial and ulnar metaphysis. No traumatic malalignment.

Erik Larsen 3

Acute buckle fractures of the distal radius and ulna metadiaphyses.

Wilson Ford 3

Acute non-displaced buckle fractures of distal radius and ulna.

Keng Moua 3

Acute distal radial and ulnar buckle fractures.

Nanditha Guruvaiah Sridhara 3

-Acute torus fracture of the distal radial metaphysis with mild dorsal angulation.
-Cortical buckling along the ulnar metaphysis, favored to represent acute torus fracture.
-Mild soft tissue edema around the wrist and forearm.

Geeth Kondaveeti 3

Buckle fractures of distal radius and ulna

benjamin.heigle 3

Distal radius torus/buckle fracture. Questionable buckling of the distal ulna.

Jessica Burris 3

dist rad and ulna buckle

jyoon5 3

Acute buckle fractures of the distal radial and ulnar metaphyses.

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