Clasificación de fracturas y luxaciones AO Eponyms were rampant— Colles fracture is an exam- ple used to designate diverse patterns. PDF | Fractures name vs classifications | ResearchGate, the professional network for scientists. Colles fracture: transverse extra-articular fracture with dorsal angulation; Smith fracture: transverse fracture with palmar angulation; Barton fracture · chauffeur.
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The plain radiographic series often comprises an AP and a lateral view; however, it is not uncommon for an oblique view to be included. Most Colles fractures are secondary to a fall on an outstretched hand FOOSH with a pronated forearm in dorsiflexion the position one adopts when trying to break a forward fall.
Case 8 Case 8. They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Check for errors and try again.
The vast majority of distal radial fractures are relatively uncomplicated and do not require a trip to theater and can be managed as an outpatient with review in fracture clinic. Thus, distal radial fractures in younger patients require much greater force, e. Treatment is dependent on the type of fracture as determined by the x-ray.
In young adults, the long bones tend to be strong and the force required to break the bone is significant. The fracture appears extra-articular and usually proximal to the radioulnar joint.
Unable to process the form. Colles’ fracture Colles fractures. Articles Cases Courses Quiz. Case 3 Case 3. Dorsal angulation of the distal fracture fragment is present to a frzctura degree as opposed to volar angulation of a Smith fracture.
Diagnosis usually only requires a standard wrist x-ray series. Case 3 Case 3. Loading Stack – 0 images remaining.
However, it is more important to recognize what makes the fracture more severe:. Trauma is almost always the cause of distal radial fractures and is often the result of a fall onto an outstretched hand FOOSH. Force applied longitudinally or obliquely to the hand and wrist is absorbed by the distal radius because it is the load-bearing bone in the forearm.
A small proportion of patients treated conservatively need to be followed up. This is particularly true if the cast becomes loose once the wrist swelling subsides. If a fracture does occur, there is usually associated dorsal angulation.
Log in Sign up. Plain films usually suffice, although if there is a concern of intra-articular extension, then CT may be beneficial. Scaphoid fracture Scaphoid fracture.
Smith fracture Case 5: The relationship between Colles tractura and osteoporosis is strong enough that when an older male patient presents with a Colles fracture, he should be investigated for osteoporosis because his risk of a hip fracture is also elevated 1. One of the more popular is the Frykman classification systemalthough it fails to distinguish between Smith and Colles fractures as it is based on AP radiographs Check for errors and try again. Colles fracture Case 2: About Blog Go ad-free.
Edit article Share article View revision history. This article describes radiographic features to check for and possible complications.
In addition to noting the presence of a fracture a number of features should be sought and commented upon:. The vast majority of Colles fractures can be treated with fractrua reduction and cast immobilisation. Most distal radial fractures in collse patients are transverse metaphyseal fractures. This cast is known as a Colles cast 4. Synonyms or Alternate Spellings: In some complex cases, additional cross-sectional imaging usually CT is required to accurately assess the fracture.
Traditionally, eponymous names were given to the common fracture types of the distal radius:.