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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In addition to noting the presence of a fracture a number of features should be sought and commented upon:. Trauma is almost always the cause of distal radial fractures and is often the result of a fall onto an outstretched hand FOOSH. As such, in clinical practice, the use of the term Colles fracture with an appropriate description of any associated injuries is sufficient in most instances.
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. Synonyms or Alternate Spellings: Younger patients who sustain Colles fractures have usually been involved in high impact trauma or have fallen, e. 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.
Barton fracture Case 6: They are particularly common in patients with osteoporosisand as such, they are most frequently seen in elderly women. Case 6 Case 6. The cast extends from below the elbow to the metacarpal heads and holds the wrist somewhat flexed and in ulnar deviation 4 – for those of you familiar with Australian rules football; this position is reminiscent of the position adopted when holding a ball in preparation for a kick.
Case 2 Case 2. Articles Cases Courses Quiz. A number of classification systems exist for distal forearm fractures. Traditionally, eponymous names were given to the common fracture types of the distal radius:.
Fractura De Colles Tratamiento
The vast majority of Colles fractures can be treated with closed reduction and cast immobilisation. However, it is more important to recognize what makes the fracture more severe:. Dorsal angulation of the distal fracture fragment is present to a variable degree as opposed to volar angulation of a Smith fracture. Case 7 Case 7. Smith fracture Case 5: Fractures with significant displacement require manipulation under sedation or anesthetic. This cast is known as a Colles cast 4.
Case 3 Case 3.
Distal radial fracture | Radiology Reference Article |
The plain radiographic series often comprises an AP and a lateral view; however, it is not uncommon for an oblique view to be included. In some complex cases, additional cross-sectional imaging usually CT is required to accurately assess the fracture. The relationship between Colles fractures 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.
Late displacement warrants surgical consideration. The fracture appears extra-articular and usually proximal to the radioulnar joint. Thank you for updating your details. J Hand Surg Eur Vol. Edit article Share article View revision history.
If a fracture is stable and treated in cast it must be reviewed regularly because of the risk of displacement. Fractures of distal radius: This is especially true when there fractuar a multi-part fracture with joint involvement. These common fractures usually occur when significant force is applied to the distal radial metaphysis. Thus, distal radial fractures in younger patients require much greater force, e.
Loading Stack – 0 images remaining. Younger patients tending to be male and older patients tending to be female. 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 Diagnosis usually only requires a standard wrist x-ray series.
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There may be an associated deformity and in severe cases, distal neurovascular compromise. Check for errors and try again. Most distal radial fractures in adult patients are fractira metaphyseal fractures.
They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface. Colles fracture Case 1: Synonyms or Alternate Spellings: They are in pain and have a reduced range of motion. When describing the fracturethink about:.
Revista Trauma – Volumen 24, número 3
Plain films usually suffice, although if there is a concern of intra-articular extension, then CT may be beneficial. Case 3 Case 3.
Check for errors and try again. The majority of patients with a distal radial fracture present following a fall onto an outstretched hand. Cases and figures Imaging differential diagnosis. If a fracture does occur, there is usually associated dorsal angulation.