Colles Fracture: Difference between revisions
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== Management / Interventions<br> == | == Management / Interventions<br> == | ||
Conservative Treatment | |||
*Immobilization in cast/splint - typically positioned in slight flexion, pronation | |||
*Percutaneous Pinning | |||
Surgical Intervention | |||
*ORIF<ref name="Wheeless" /> | |||
== Differential Diagnosis<br> == | == Differential Diagnosis<br> == | ||
Revision as of 21:20, 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]
Management / Interventions
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Conservative Treatment
- Immobilization in cast/splint - typically positioned in slight flexion, pronation
- Percutaneous Pinning
Surgical Intervention
- ORIF[1]
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 1.3 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).
- ↑ 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.
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