Amsterdam Wrist Rules

Wrist trauma plus any of:
• Distal radius or ulna tenderness
• Swelling of the wrist
• Reduced active pronation or supination
• Validated to reduce unnecessary wrist radiographs by ~15%

Reference:

Hendriksen JM, Geersing GJ, Moons KG, et al. Diagnostic prediction models for suspected wrist fractures: a systematic review and validation study. BMC Musculoskelet Disord. 2011;12:127.