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. 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> == | |||
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.<ref name="Wheeless" /><br> | |||
== Clinical Presentation == | == Clinical Presentation == | ||
*"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 == | ||
*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 == | ||
*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 /> | <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.
- ↑ 1.0 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).
The content on or accessible through Physiopedia is for informational purposes only. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Read more. |