Colles Fracture: Difference between revisions

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== Clinically Relevant Anatomy<br> ==
== Clinically Relevant Anatomy<br> ==


<br>
Low energy extra-articular fracture of the distal radius.&nbsp; Can be associated with ulnar styloid fracture, TFCC tear, scapholunate dissociation.<ref name="Wheeless">Wheeless CR. Wheeless' Textbook of Orthopaedics. Colles Fracture. http://www.wheelessonline.com/ortho/colles_frx (Accessed 2 July 2009).</ref><br>
 
== Mechanism of Injury / Pathological Process<br> ==


== Mechanism of Injury / Pathological Process<br>  ==
MOI: forced dorsiflexion of the wrist (FOOSH injury)


add text here relating to the mechanism of injury and/or pathology of the condition<br>  
*Fracture is typically dorsally displaced and angulated
*Dorsal surface undergoes compression, while volar surface undergoes tension
*Typically occurs in elderly individuals.<ref name="Wheeless" /><br>


== Clinical Presentation  ==
== Clinical Presentation  ==


add text here relating to the clinical presentation of the condition<br>  
*"Dinner Fork" Deformity<ref name="EMedicine">Hoynak BC, Hopson L. EMedicine. Wrist Fractures. http://emedicine.medscape.com/article/828746-overview (Acessed 2 July 2009).</ref>
*History of fall on an outstretched hand
*Dorsal wrist pain
*Sweling of the wrist
*Increased angulation of the distal radius
*Inability to grasp object<ref name="Medline">Joseph TN. Medline Plus. Colles' Wrist Fracture. http://www.nlm.nih.gov/medlineplus/ency/article/000002.htm (Accessed 2 July 2009).</ref>


== Diagnostic Procedures  ==
== Diagnostic Procedures  ==


add text here relating to diagnostic tests for the condition<br>  
*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<ref name="Wheeless" />


== Outcome Measures  ==
== Outcome Measures  ==


add links to outcome measures here (see [[Outcome Measures|Outcome Measures Database]])  
*DASH
*Patient (PRWE)


== Management / Interventions<br> ==
== Management / Interventions<br> ==


add text here relating to management approaches to the condition<br>  
add text here relating to management approaches to the condition<br>


== Differential Diagnosis<br> ==
== Differential Diagnosis<br> ==


add text here relating to the differential diagnosis of this condition<br>  
add text here relating to the differential diagnosis of this condition<br>


== Key Evidence  ==
== Key Evidence  ==


add text here relating to key evidence with regards to any of the above headings<br>  
add text here relating to key evidence with regards to any of the above headings<br>


== Resources <br> ==
== Resources <br> ==


add appropriate resources here  
add appropriate resources here  
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== Case Studies  ==
== Case Studies  ==


add links to case studies here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br>  
add links to case studies here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br>


== References  ==
== References  ==
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References will automatically be added here, see [[Adding References|adding references tutorial]].  
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<references />  
<references />


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Revision as of 20:56, 2 July 2009

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Clinically Relevant Anatomy
[edit | edit source]

Low energy extra-articular fracture of the distal radius.  Can be associated with ulnar styloid fracture, TFCC tear, scapholunate dissociation.[1]

Mechanism of Injury / Pathological Process
[edit | edit source]

MOI: forced dorsiflexion of the wrist (FOOSH injury)

  • Fracture is typically dorsally displaced and angulated
  • Dorsal surface undergoes compression, while volar surface undergoes tension
  • Typically occurs in elderly individuals.[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]

  • DASH
  • Patient (PRWE)

Management / Interventions
[edit | edit source]

add text here relating to management approaches to the condition

Differential Diagnosis
[edit | edit source]

add text here relating to the differential diagnosis of this condition

Key Evidence[edit | edit source]

add text here relating to key evidence with regards to any of the above headings

Resources
[edit | edit source]

add appropriate resources here

Case Studies[edit | edit source]

add links to case studies here (case studies should be added on new pages using the case study template)

References[edit | edit source]

References will automatically be added here, see adding references tutorial.

  1. ↑ 1.0 1.1 1.2 Wheeless CR. Wheeless' Textbook of Orthopaedics. Colles Fracture. http://www.wheelessonline.com/ortho/colles_frx (Accessed 2 July 2009).
  2. ↑ Hoynak BC, Hopson L. EMedicine. Wrist Fractures. http://emedicine.medscape.com/article/828746-overview (Acessed 2 July 2009).
  3. ↑ Joseph TN. Medline Plus. Colles' Wrist Fracture. http://www.nlm.nih.gov/medlineplus/ency/article/000002.htm (Accessed 2 July 2009).
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