Colle's fracture/Smith's fracture✅

Question 1

Etiology of Colles’ fracture/Smith’s fracture

Answer 1

Colle’s #
distal end of radius
direct blow on extended wrist

Smith’s #
distal end of radius
direct blow on flexed wrist

Question 2

SSx of Colles’ #

Answer 2

“Dinner Fork” Deformity
Dorsal wrist pain
Swelling of the wrist
Increased angulation of the distal radius
Inability to grasp object

Question 3

Treatment of Colles’ #

Answer 3

Protection with cast (short-arm), remove at 6-8 weeks if healed

Maintain range and exercise in uninvolved joints

Control pain & edema (elevation, retrograde massage, compressive wraps along hand & digits)

Incorporate ADLs

Later:
Begin strengthening program, including grip strengthening (isometric progressing to resisted, e.g. dumbbells or theraband)

Exercises idea:
Gentle ball rolling / Spatula supination/pronation / Towel walking

Question 4

Ax for colles’ fracture

Answer 4

Wrist AROM, PROM
Finger/thumb ROM
Sensory

XXX strength test XXX