![]() ![]() Refers to a fracture of the distal radius with volar angulation of the distal fragment. There is an associated fracture of the ulna styloid in around 50% of cases. It is classically caused by a 'fall onto outstretched hand' (or FOOSH - an acronym you will often see in orthopaedic clerkings). Colles’ fractureĪ type of distal radius fracture defined as an extra-articular fracture of the metaphyseal region of the radius with dorsal angulation (of the distal fragment) and impaction. Intra-articular fractures of the distal radius are called Barton's fractures (described below). In the hand, this describes the palm of the hand.Ĭolles' and Smith's are both classically considered to be extra-articular fractures (fractures that do not involve the articular surface). Ventral surface: refers to the front or lower side.In the hand, this describes the back of the hand. Dorsal surface: refers to the back or upper side.They are described based on the angulation of the distal radial fragment, as such, you must be aware of two terms: It remains important however to be aware of these eponyms and their meanings. You will find however in practice, at trauma meetings these eponyms are rarely used - instead replaced with a clear verbal description of the radiological appearances of the fracture. Shalev.Fractures may be described based upon region, displacement, comminution and angulation.Ĭolles' and Smith's are frequently discussed fracture patterns when taught as students. The circulation to your fingers and small wrist bones could be seriously affected, and that requires immediate medical attention,” said Dr. “If your wrist is swollen, discolored or numb, come to Advance ER immediately. If you’ve suffered from a fall and are experiencing pain, come in right away to Advance ER for No Wait access to a board-certified physician. Strength exercises – build up the strength in your wrists to protect them and develop your leg and hip strength to keep you from fallingĪdvance ER is always open to help with your FOOSH injuries and more.Safe falling techniques – learn how to fall forwards and backwards safely, without using the arm or hand to break your fall.Wrist guards – wear the guards when playing sports, biking or skating.Vitamin D – sunlight, foods such as salmon, or vitamin D supplements.Diet rich in calcium – green, leafy vegetables, low-fat yogurt and dairy products, or calcium supplements.Dull ache or pain that lasts more than 2 years.What are the complications of a Colles’ fracture? “You will want to work towards regaining a full range of motion, flexibility and strength in that wrist.” “Going to your physical therapy appointments is an important step in healing from the Colles’ fracture,” said Dr. Advance ER’s on-site pharmacy can provide you with a pain reliever and other prescriptions.įinally, physical therapy will likely be recommended after the cast comes off. Pain relievers, elevation, rest and ice may be common elements of a Colles’ fracture treatment. ![]() “Once we get the X-rays done, we’ll know what treatment to prescribe.” We may need to do a reduction on it-which means we’ll straighten the bone-then will put a cast on it,” said Dr. “If your fracture is not serious, we may splint it. Pins or screws may be needed to repair the bones before putting the wrist into a cast, and a specialist may be called upon for this surgery. At Advance ER, a specialist consultation using our SPECIALIST NOW™ program, can give you an immediate second opinion. Since this can be a serious fracture that can have complications, surgery is often recommended. What is the treatment for a Colles’ fracture? The images will be carefully studied to see what bones were affected. Your Dallas Advance ER physician will use our readily-available imaging equipment, typically an X-ray, to determine the position of the injury. How is Colles’ fracture or a FOOSH fracture diagnosed? “The patient will have trouble using the hand or making the grabbing motion.” “A Colles’ fracture may hang or be bent at an odd angle, be warm to the touch, be swollen, numb and very painful,” said Advance ER physician Dr. A bone that breaks but not in the wrist joint.A bone that breaks within the wrist joint.A bone that breaks in more than two pieces.Several bones may be affected by this injury if it is severe.Ī Colles’ wrist fracture can present in four common ways: A Colles’ fracture can happen in a second by falling while playing sports, skating, riding bikes or horses, or even just a fall while working around the house or job site.Ī Colles’ wrist fracture is one of the FOOSH fractures (Falling On OutStretched Hand), that breaks the end of the radius bone where it meets the wrist bones. Falling is a part of an active life, and hitting the palm on the ground to break your fall could result in a common wrist injury called a Colles’ fracture. ![]()
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