Colles Fracture: Difference between revisions
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'''Original Editor '''- [[User:Stacy S Stone|Stacy S Stone]] | '''Original Editor '''- [[User:Stacy S Stone|Stacy S Stone]] | ||
'''Lead Editors''' - | <br> '''Lead Editors''' - [[User:Emma Guettard|Emma Guettard]] as part of the [[Vrije Universiteit Brussel Evidence-based Practice Project]] | ||
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== {{VUB}}== Search Strategy<br> ==<br>We consulted Pubmed to search for randomized clinical trials. These are the words we used: Colles’ fracture physical therapy, colles’ fracture epidemiology, distal radius fracture, treatment colles fracture.<br> == | |||
== {{VUB}}== Search Strategy<br> ==<br>We consulted Pubmed to search for randomized clinical trials. These are the words we used: Colles’ fracture physical therapy, colles’ fracture epidemiology, distal radius fracture, treatment colles fracture.<br> == | |||
== ==Search strategy==<br> == | == ==Search strategy==<br> == | ||
We consulted Pubmed to search for randomized clinical trials. These are the words we used: Colles’ fracture physical therapy, colles’ fracture epidemiology, distal radius fracture, treatment colles fracture..<ref name="Wheeless" /><br> | We consulted Pubmed to search for randomized clinical trials. These are the words we used: Colles’ fracture physical therapy, colles’ fracture epidemiology, distal radius fracture, treatment colles fracture..<ref name="Wheeless" /><br> | ||
== Clinical Presentation == | == Clinical Presentation == | ||
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== Outcome Measures == | == Outcome Measures == | ||
*[[ | *[[DASH Outcome Measure|DASH]] | ||
*Patient Rated Wrist Evaluation (PRWE) | *Patient Rated Wrist Evaluation (PRWE) | ||
*Green Score | *Green Score | ||
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*Metacarpal fracture<ref name="EMedicine" /> | *Metacarpal fracture<ref name="EMedicine" /> | ||
== == | == == | ||
== Resources <br> == | == Resources <br> == | ||
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<references /> | <references /> | ||
[[Category:EIM_Residency_Project]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Wrist]] | |||
Revision as of 19:16, 13 June 2013
Original Editor - Stacy S Stone
Lead Editors - Emma Guettard as part of the Vrije Universiteit Brussel Evidence-based Practice Project
==
Original Editors
Top Contributors - Emma Guettard, Admin, Adam Vallely Farrell, Kim Jackson, Stacy S Stone, Laura Ritchie, Rachael Lowe, Anne-Laure Vanherwegen, Nikhil Benhur Abburi, Lauren Lopez, Lucinda hampton, Anas Mohamed, Evan Thomas, Scott Buxton, Priyanka Chugh, Benjamin Desmedt, WikiSysop and Claire Knott
Definition/Description[edit source]
add text here
Clinically Relevant Anatomy[edit source]
add text here
Epidemiology /Etiology[edit source]
add text here
Characteristics/Clinical Presentation[edit source]
add text here
Differential Diagnosis[edit source]
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Diagnostic Procedures[edit source]
add text here related to medical diagnostic procedures
Outcome Measures[edit source]
add links to outcome measures here (also see Outcome Measures Database)
Examination[edit source]
add text here related to physical examination and assessment
Medical Management
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add text here
Physical Therapy Management
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add text here
Key Research[edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
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add appropriate resources here
Clinical Bottom Line[edit source]
add text here
References[edit source]
see adding references tutorial.
== Search Strategy<br> ==
We consulted Pubmed to search for randomized clinical trials. These are the words we used: Colles’ fracture physical therapy, colles’ fracture epidemiology, distal radius fracture, treatment colles fracture.
==
==Search strategy==
[edit | edit source]
We consulted Pubmed to search for randomized clinical trials. These are the words we used: Colles’ fracture physical therapy, colles’ fracture epidemiology, distal radius fracture, treatment colles fracture..[1]
Clinical Presentation[edit | edit source]
- "Dinner Fork" Deformity[2]
- History of fall on an outstretched hand
- Dorsal wrist pain
- Sweling of the wrist
- Increased angulation of the distal radius
- Inability to grasp object[3]
Diagnostic Procedures[edit | edit source]
- Radiographic Imaging - dorsally angulated fracture of distal radial metaphysis
- CT Scan
Classifications of Distal Radial (Colles') Fracture
- Universal Classification of Dorsally Displaced Distal Radial Fractures Type I - undisplaced
- Universal Classification of Dorsally Displaced Distal Radial Fractures Type II - displaced
- Melone Type I - undisplaced and minimally comminuted
- Frykman Type I - distal radial fracture without distal ulnar fracture
- Frykman Type II - distal radial fracture with distal ulnar fracture[1]
Outcome Measures[edit | edit source]
Management / Interventions
[edit | edit source]
| [8] |
Conservative Treatment
- Immobilization in cast/splint - typically positioned in slight flexion, pronation
- Percutaneous Pinning
Surgical Intervention
- ORIF[1]
Differential Diagnosis
[edit | edit source]
Must differentially diagnose a Colles' Fracture from:
- Carpal fracture/dislocation (particularly scaphoid and lunate)
- Distal ulnar fracture
- Metacarpal fracture[2]
[edit | edit source]
Resources
[edit | edit source]
add appropriate resources here
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 1.0 1.1 1.2 Cite error: Invalid
<ref>tag; no text was provided for refs namedWheeless - ↑ 2.0 2.1 Hoynak BC, Hopson L. EMedicine. Wrist Fractures. http://emedicine.medscape.com/article/828746-overview (Acessed 2 July 2009).
- ↑ Joseph TN. Medline Plus. Colles' Wrist Fracture. http://www.nlm.nih.gov/medlineplus/ency/article/000002.htm (Accessed 2 July 2009).
- ↑ MacDermid JC, Roth JH, Richards RS. Pain and disability reported in the year following a distal radius fracture: a cohort study. BMC Musculoskeletal Disord. 2003;4:24.
- ↑ Arora R, Gabl M, Gschwentner M, Deml C, Krappinger D, Lutz M. A comparative study of clinical and radiologic outcomes of unstable colles type distal radius fractures in patients older than 70 years: nonoperative treatment versus volar locking plating. J Orthop Trauma. 2009;23(4):237-242.
- ↑ Wright TW, Horodyski M, Smith DW. Functional outcome of unstable distal radius fractures: ORIF with a volar fixed-angle tine plate versus external fixation. J Hand Surg Am. 2005;30(2):289-299.
- ↑ Tremayne A, Taylor N, McBurney H, Baskus K. Correlation of impairment and activity limitation after wrist fracture. Physiother Res Int. 2002;7(2):90-99.
- ↑ besthandsurgeon. Distal Radius Fracture ORIF. Available from: http://www.youtube.com/watch?v=Ye839BYoMaY[last accessed 22/03/13]
