Evaluation and Management of Wrist Injuries in the Urgent Care Setting (Trauma CME)

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Delivery Method:	Online
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Publication Date: June 2025 (Volume 4, Number 6)

CME Credits: 4 AMA PRA Category 1 Credits™, 4 ACEP Category I credits, 4 AAFP Prescribed credits, and 4 AOA Category 2-B CME credits. CME expires 06/01/2028.

Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 3 Trauma CME credits, subject to your state and institutional approval.

Author

Peer Reviewers

Abstract

Wrist injuries are commonly seen in urgent care and acute care settings. Failure to properly evaluate and manage wrist injuries can lead to missed diagnosis, delayed healing, and poorer patient outcomes. This review presents an overview of current best practices for the evaluation and management of wrist injuries in the urgent care setting. Commonly encountered wrist injuries are addressed and frequent diagnostic and management pitfalls are highlighted. Additionally, emerging technologies and imaging modalities that may influence and enhance future clinical practice are discussed.

Case Presentations

A 64-year-old woman presents with right wrist pain after falling on her right hand while walking her dog an hour ago…

• She states that she tripped over the sidewalk and landed on her hand. She did not sustain any other injuries.
• She reports no numbness or tingling in the hand, fingers, or wrist.
• She has applied ice to the injury. She is right-handed and denies any previous wrist injuries or surgeries.
• The patient expresses concern that the wrist is broken...

A 21-year-old man presents with left wrist pain after getting hit with a baseball...

• He states the injury happened 3 hours ago. He was batting and got struck in the back of the hand by a baseball.
• The patient is right-handed.
• He denies any numbness or tingling in the hand or fingers.
• He is hoping to play in the college state championship next week and asks you if that will be possible...

A 14-year-old gymnast presents with right wrist pain after doing a vault…

• She injured it yesterday but was able to finish the competition. Today the pain is more constant.
• She is right-handed.
• She reports no previous injuries or surgery to the area, and she has no numbness or tingling in her hands or fingers.
• Today she is wearing a brace to help with the pain.
• She wonders when her wrist will get better and how she can accelerate the healing process...

Accreditation:

EB Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.