Distal Radius Fractures

WS is a 55-year-old right-handed man who presents to the emergency department via self-transport complaining of severe wrist pain after a fall directly onto his outstretched right hand. He denies any loss of consciousness. On primary survey, he has a GCS of 15, a patent airway and is hemodynamically stable. Secondary survey reveals an obviously deformed right wrist. Past medical history is significant for insulin-dependent diabetes, for which he takes a combination of long-acting and regular insulin.