A study of 565 fractures revealed 177 (31 per cent) with such complications as persistent neuropathies of the median, ulnar, or radial nerves (forty-five cases),
radiocarpal
or radio-ulnar arthrosis (thirty-seven cases), and malposition-malunion (thirty cases).
Which nerve is affected in Colles fracture?
A Colles’ fracture is a type of fracture of the distal forearm in which the broken end of the radius is bent backwards. Symptoms may include pain, swelling, deformity, and bruising. Complications may include damage to
the median nerve
. It typically occurs as a result of a fall on an outstretched hand.
What are the complications of Colles fracture?
- malunion resulting in dinner fork deformity.
- median nerve palsy and post-traumatic carpal tunnel syndrome.
- reflex sympathetic dystrophy.
- secondary osteoarthritis, more frequently seen in patients with intra-articular involvement.
- EPL tendon tear.
Which of the following is the most common cause of Colles fracture?
Common causes and risk factors of a Colles’ wrist fracture
Putting your hand out to stop yourself from falling
is the most common cause of a Colles’ wrist fracture. You’re more at risk of having a distal radius fracture if you: have osteoporosis, a disease that weakens your bones.
What is a Colles fracture?
A Colles fracture is
a break in the radius close to the wrist
. It was named for the surgeon who first described it. Typically, the break is located about an inch (2.5 centimeters) below where the bone joins the wrist.
What causes a Colles fracture?
The Colles fracture is most commonly caused by
a fall
, landing on an outstretched hand with the wrist in dorsiflexion.
How common is a Colles fracture?
Epidemiology. Colles fractures are the
most common type of distal radial fracture
and are seen in all adult age groups and demographics. They are particularly common in patients with osteoporosis, and as such, they are most frequently seen in elderly women.
How do you prevent a Colles fracture?
Colles’ fracture is a distal radius injury, with dorsal tilt of the distal radial fracture fragment. Its typical treatment involves
reduction and plaster cast immobilization
to restore its anatomical position.
What does Colles fracture look like?
The clinical presentation of Colles fracture is commonly described as
a dinner fork deformity
. A distal fracture of the radius causes posterior displacement of the distal fragment, causing the forearm to be angled posteriorly just proximal to the wrist.
What are the symptoms of Colles fracture?
- Pain when you bend your wrist.
- Tenderness.
- Swelling.
- Bruising.
- Deformity.
Where does a Colles fracture occur?
A Colles fracture occurs when
the broken end of the radius tilts upward
. Other ways the distal radius can break include: Intra-articular fracture. A fracture that extends into the wrist joint.
What is the difference between Smith and Colles fracture?
| Smith’s fracture | Other names Reverse Colles’ fracture, Goyrand-Smith’s | Smith’s fracture | Specialty Orthopedics |
|---|
Why is it called a chauffeur’s fracture?
It was originally named by British surgeon Jonathan Hutchinson (1828-1913). Its other names derive from the
typical occupation of people who sustained this injury due to direct trauma from starting a car with a crank
. It is also known as backfire fracture or lorry driver fracture
1
.
What is the most common method of reduction for a Colles fracture?
A very commonly used method of closed reduction is
manual traction (MT)
. An assistant provides counter-traction while the operator provides traction and manipulates the bone fragments into position.
Can fractures heal without cast?
Technically speaking, the answer to the question “can broken bones heal without a cast?” is
yes
. Assuming conditions are just right, a broken bone can heal without a cast. However, (and very importantly) it doesn’t work in all cases. Likewise, a broken bone left to heal without a cast may heal improperly.
