A 55-year-old woman has fallen and presents with a deformed wrist. Her X-ray is shown below:

Wrist injury

1. Using the image, complete the table below indicating important lengths/angles to take into account when considering need for Colles fracture reduction. 6 marks

2. List (3) other X-ray determined indications for distal radial fracture reduction in general. 3 marks

3. List (4) different anaesthetic techniques you could employ to facilitate closed fracture reduction in the ED, giving a pro and con for each. 8 marks