Colles Fracture

Question 1

Definition

Answer 1

at distal end of radius at its corticocancellous junction ( 2cm from its articulating surface ) there is dorsal displacement of distal fragment

Question 2

Age

Answer 2

Post menopausal women ( due to osteoporosis )

Question 3

Clinical features

Answer 3

history of trauma
Pain
Swelling
Deformity = dinner fork deformity
Restricted movement
Radial styloid process at same level or higher than ulnar styloid process

Question 4

Xray

Answer 4

AP =
proximal shift
radial shift
radial tilt
Lateral =
Proximal shift
Dorsal shift
Dorsal tilt

Question 5

Treatment

Answer 5

Non operative
Operative

Question 6

Non operative

Answer 6

undisplace = Above elbow cast with flexed elbow for 6 weeks
Displaced =
closed reduction = tration and counter traction applied along the long axis of forearm , surgeon presses the distal fragent with thim to correct dorsal tilt .
surgeon pronates forearm , flexes wrist 20 degree and 20 degree ulnar deviation and applies cast from below elbow to knuckles called colles cast .
post reduction x ray done , repeated weekly
cast applied for 6 weeks

Question 7

Operative

Answer 7

Open reduction and
plating or percutaneous pinning
External fixation