Fractures a deplacement posterieur les plus frequentes 90%. Colles fracture of wrist or distal radius fracturecauses. A study of two thousand cases from the new york state workmens compensation board. Mar 19, 2019 a distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. A supracondylar humerus fracture is a fracture of the distal humerus just above the elbow joint. They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface. Women over 65 years are at the highest risk for suffering colles fractures and over 7 times more than men as well as children between 6 and 10 years of age. A colles fracture of the wrist or distal radius fracture is a medical condition where there is a break in forearm bone termed as the radius. Vocabulary colles s fracture a displaced fracture of the forearm caused when the victim falls on the palm of the hand with the. Colles fracture as a complication caused by other conditions. Powdercoated aluminum splints are radiolucent, malleable, and have a comfortable foam interior. The criteria that define a break as a colles fracture include. Moyens orthopediques immobilisation platree simple par babp.
A true colles fracture is a complete fracture of the radius bone of the forearm close to the wrist resulting in an upward posterior displacement of the radius and obvious deformity. All about myself faysal ahammed bpt 5th batch4th year roll. Antebrachii fracture pdf the forearm is the part of the arm between the wrist and the elbow. The vast majority of colles fractures can be treated with closed reduction and cast immobilization. This is a common fracture in elderly patients, consisting of a transverse fracture of the distal radial metaphysis proximal to the joint with dorsal displacement of the distal fragment and volar dislocation. They are particularly common in patients with osteoporosis, and as such, they are most frequently seen in elderly women. Welcome to my presentation which is the part of teaching methodology 2. The relationship between colles fractures and osteoporosis is strong enough that when an older male patient presents with a colles fracture. A colles fracture is a type of broken bone near the wrist. The socalled pouteaucolles fracture was never specifically described by pouteau. Learn more about this type of fracture and take a short quiz to test what you have learned. Jan 28, 2019 a colles fracture of the wrist or distal radius fracture is a medical condition where there is a break in forearm bone termed as the radius. Colles fractures are very common extraarticular fractures of the distal radius that occur as the result of a fall onto an outstretched hand.
Colles fractures article about colles fractures by the. What is the morbidity rate of colles in the united states. Women over 65 years are at the highest risk for suffering colles fractures and over 7 times more than men as well as children between 6. View colles fracture ppts online, safely and virusfree. In the two years studied most thoroughly 1945 and 1949, colles fracture was found to constitute by far the most frequent individual fracture of the radius. He succeeded abraham colles colles fracture as professor of surgery at trinity college, dublin. Maisonneuve fracture le fort fracture of ankle bosworth fracture. It was named for the surgeon who first described it. Named by robert william smith 18071873 who was a surgeon in dublin, ireland.
A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. Treatment for a colles fracture will aim vracture get all the broken bones back in the right places and to keep them there until they have healed. Sep 06, 2019 the criteria that define a break as a colles fracture include. Classically the injury comprises a transverse fracture of the distal radius with dorsal displacement and shortening of the wrist. Instead, the break is just above the level of the joint. Now he has presented 2days back with increased deformity and infection. Full text get a printable copy pdf file of the complete article 298k, or click on a page image below to browse page by page. A true colles fracture is known as an extraarticular fracture, meaning the break does not enter the cartilage portion of the wrist joint. Pain swelling deformity there is classic dinnerfork deformity seen in colles fracture.
However this term can also be applied to similar fractures that are outside this original definition summers, 2005. However, none of the classification systems demonstrate good liability. Ernest amory codman was the first to study it using xrays. Upper limb orthoticscolles wrist fracture wikiversity. Pouteau colles, avec fragment posteroint, complexes. Results the cases of 106 patients presenting a fracture of pouteaucolles were studied among 174 fractures of the distal radius. He is remembered as a skilful surgeon and for his 1814 paper on the fracture of the carpal extremity of the radius. Perform open reduction and internal fixation of the radius, then assess the distal radioulnar joint for instability, and percutaneously fix the distal radioulnar. Radial styloid process lies in the same level or little higher than the ulnar styloid process. This surgeon from lyons wrote a paper published in his posthumous. Previous studies of bone density in patients with colles fracture have been inconclusive. Stable colles fractures can be followed up in a fracture clinic or equivalent approximately one week post injury.
Poignet gauche suite a fracture type pouteau colles. It is a type of wrist fracture where the bone gets displaced so that the wrist joint gets dislocated in the rear of its usual position. Sep 11, 2019 astm d1603 pdf this standard is issued under the fixed designation d. This paper, describing distal radial fractures, was far ahead of its time, being published decades before xrays came into use. This will allow time for the initial swelling to subside so that a full circumferential cast can be applied. A comparative study between closed reduction, cast immobilisation and closed reduction, percutaneous kwire fixation, cast immobilisation in distal radius fractures.
Astm d1603 pdf this standard is issued under the fixed designation d. It is commonly called a broken wrist in spite of the fact that the distal radius is the. Aluminum colles splint gives radialulnar support in the treatment of colles fractures, stabilizes wrist in slight flexionpronation with ulnar deviation for reduction. A colles fracture is a break in the radius close to the wrist. In 1945, there were 650 colles fractures out of 1,071 radial fractures. This surgeon from lyons wrote a paper published in his posthumous works in 1783. Sep 19, 2017 stable colles fractures can be followed up in a fracture clinic or equivalent approximately one week post injury. We measured bone density at the second metacarpal in 36 postmenopausal women with colles fracture. The fracture is usually transverse or oblique and above the medial and lateral condyles and epicondyles. Typically death doesnt occur with a wrist fracture, it just may lead to other issues mostly age related.
The fracture is often accompanied by a fracture of the ulnar styloid. A colles fracture is a common fracture that happens more often in women than men. They also reported that the incidence in patients younger than 35 was 1. It is commonly called a broken wrist in spite of the fact that the distal radius is the location of the fracture, not the carpal bones of the wrist. Recovery of the fracture will consist of pain management for the weeks following the injury or surgery, cast care and follow up care with an orthopedist and possible physical therapy. While the original description of a colles fracture was a dorsally displaced, extraarticular distal radius fracture, often the name of a colles. Colles fracture symptoms, diagnosis, treatments and causes. Colles fractures are the most common type of distal radial fracture and are seen in all adult age groups and demographics. Conclusion the implementation of a procedure is the first step to improve the autonomy and the quality of care of pouteau colles fracture by the emergency physician. A true colles fracture as defined by abraham colles is a fracture of the distal radius within 2. The colles fracture is named after abraham colles 17731843, an irish surgeon, from kilkenny who first described it in 1814 by simply looking at the classical deformity before the advent of xrays. Colles fracture fracture of the distal radius bone.