Colles Fracture: Difference between revisions
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== Outcome Measures == | == Outcome Measures == | ||
*DASH | *DASH | ||
*Patient (PRWE) | *Patient (PRWE) | ||
*Green Score | |||
*O'Brian Score | |||
== Management / Interventions<br> == | == Management / Interventions<br> == | ||
Revision as of 21:09, 2 July 2009
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Clinically Relevant Anatomy
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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
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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)
- Green Score
- O'Brian Score
Management / Interventions
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add text here relating to management approaches to the condition
Differential Diagnosis
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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
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add appropriate resources here
Case Studies[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 Wheeless CR. Wheeless' Textbook of Orthopaedics. Colles Fracture. http://www.wheelessonline.com/ortho/colles_frx (Accessed 2 July 2009).
- ↑ 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).
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