Colle's fracture

Question 1

Cause of Colle’s fracture

Answer 1

FOOSH

Question 2

What is the incidence of these fractures related to in older women, and what can be considered as management?

Answer 2

Osteoporosis, consider a bone graft

Question 3

What kind of deformity is seen and why?

Answer 3

Dinner fork deformity due to posterior displacement of distal portion and dorsal tilt.

Question 4

Treatment for undisplaced Colle’s fractures

Answer 4

Dorsal splint for 4 weeks then active movements

Question 5

Treatment for displaced Colle’s fractures

Answer 5

Reduced under anaesthesia using haematoma block (aspirates haematoma formed by fracture and then uses LA)
Manipulation and dorsal plaster slab

Question 6

Treatment for comminuted and unstable Colle’s fractures

Answer 6

K-wire fixation after reduction and plaster (5 weeks)

Question 7

Complications of Colle’s fracture

Answer 7

Compartment syndrome
Median nerve compression
Malunion
Rupture of extensor pollicis longus tendon
Wrist stiffness
Sudeck’s atrophy