Colles Fracture
Original Editor - Stacy S Stone
Lead Editors - Emma Guettard as part of the Vrije Universiteit Brussel Evidence-based Practice Project
Search strategy
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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]
Definition/Description[edit | edit source]
A colles fracture is a fracture of the distal radius. It was first described in 1814, by Abraham Colles, an Irish surgeon. The fracture originates from a fall on the outstretched hand and is usually associated with dorsal and radial displacement of the distal fragment, and disturbance of the radial-ulnar articulation. Possibly the ulnar styliod may be fractured. Communication of the distal fragment and fractures into the joint surface are present in some of these fractures. The colles fracture is one of the most common and challenging of the outpatient fractures. (7: Level of Evidence 1B) Colles' fracture is defined as a linear transverse fracture of the distal radius approximately 20-35 mm proximal to the articular surface with dorsal angulation of the distal fragment.(3: Level of evidence 4 )
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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| [6] |
Conservative Treatment
- Immobilization in cast/splint - typically positioned in slight flexion, pronation
- Percutaneous Pinning
Surgical Intervention
- ORIF[1]
Differential Diagnosis
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Must differentially diagnose a Colles' Fracture from:
- Carpal fracture/dislocation (particularly scaphoid and lunate)
- Distal ulnar fracture
- Metacarpal fracture[7]
Resources
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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 - ↑ 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]
- ↑ Cite error: Invalid
<ref>tag; no text was provided for refs namedEMedicine
