Chauffeur's fracture
Encyclopedia
Chauffeur's fracture is a type of fracture
Fracture
A fracture is the separation of an object or material into two, or more, pieces under the action of stress.The word fracture is often applied to bones of living creatures , or to crystals or crystalline materials, such as gemstones or metal...

 of the forearm
Forearm
-See also:*Forearm flexors*Forearm muscles...

, specifically the radial styloid process
Radial styloid process
The radial styloid process is a projection of bone on the lateral surface of the distal radius bone. It extends obliquely downward into a strong, conical projection. The tendon of the brachioradialis attaches at its base, and the radial collateral ligament of the wrist attaches at its apex...

. The injury is typically caused by compression of the scaphoid bone of the hand against the styloid process
Radial styloid process
The radial styloid process is a projection of bone on the lateral surface of the distal radius bone. It extends obliquely downward into a strong, conical projection. The tendon of the brachioradialis attaches at its base, and the radial collateral ligament of the wrist attaches at its apex...

 of the distal radius. It can be caused by falling onto an outstretched hand. Treatment is often open reduction and internal fixation, which is surgical realignment of the bone fragments and fixation with pins, screws, or plates.

The name originates from early chauffeur
Chauffeur
A chauffeur is a person employed to drive a passenger motor vehicle, especially a luxury vehicle such as a large sedan or limousine.Originally such drivers were always personal servants of the vehicle owner, but now in many cases specialist chauffeur service companies, or individual drivers provide...

s who sustained these injuries when the car back-fired while the chauffeur was hand-cranking to start the car. The back-fire forced the crank backward into the chauffeur's palm and produced the characteristic styloid fracture. It is also known as a backfire fracture (for the same reason) or a Hutchinson fracture.
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