Colles Fracture

Question 1

How does a collies fracture happen?

Answer 1

1. FOOSH
   *mechanism causes transverse fracture of the distal radius just proximal to the wrist
   *common in the elderly
   *in a kids will present as a buckle or greenstick

Question 2

What is the diagnostic test?

Answer 2

1. X ray
   *dorsal comminution and distal fragment impacted and shortened with apex volar angulation
   *fracture is pointed towards palmar surface

Question 3

How to reduce the fracture?

Answer 3

1. Recreate hyperextension off the wrist
2. Apply traction to the hand
3. Force the wrist and distal fragment into flexion and ulnar deviation
4. Cast (volar/dorsal splint from elbow to palm)

Question 4

What can be used if there is misalignment

Answer 4

K-wire

Question 5

What nerve can be injury during a collies fracture?

Answer 5

Median nerve injury
*document median nerve function before and after fracture
*tendon injury to thumb extensors is common as well

Question 6

What is a common complication of collies fracture?

Answer 6

1. Shoulder-hand syndrome (elderly)
   *shoulder and finger stiffness results during treatment period
   *patients should exercise joints while in cast