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HPI
The patient is a 53-year-old male that presents with left wrist pain after falling 10 feet from a ladder while painting directly onto the left hand. He denies other injuries.
PMH
None
PE
On physical exam, there is left volar and dorsal wrist edema and no open injury. There is TTP over the radial styloid and dorsal distal radius. The compartments are soft. There are no paresthesias. Light touch sensation is intact. ROM, strength testing and provocative tests are deferred due to pain. The radial pulse is 2+.
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External fixation device placement with open reduction dorsally for fracture reduction and pin placement