Colle's Fracture Flashcards
1
Q
what is a Colle’s fracture?
A
- falling on an outstretched hand, causing forced dorsiflexion
- fracture of distal metaphysis of radius
- looks like a fork
2
Q
what are the risk factors?
A
- elderly
- osteoporosis
3
Q
how might they present?
A
- painful swollen joint
- backwards and lateral deviation of radius
4
Q
what is a Smith’s fracture?
what is more dangerous about a Smith’s fracture?
A
- Reverse Colle’s
- causes garden spade deformity
- fall onto back of flexed wrist
- can cause neuromuscular compromise in the wrist as distal fragment becomes palmar rather than dorsum (Colles)
5
Q
what is a Barton’s fracture?
what is a Chauffeurs fracture?
what is a Greenstick fracture?
A
- distal fracture with dislocation of radoiocarpal joint (like Smiths but through the end of the radius)
- radial styloid fracture
- Fracture of children where bone is broken but periosteum rains intact
6
Q
how do you commonly get a scaphoid fracture? what is the worry with it?
A
- Falling onto an outstretched hand
- risk of AVN
7
Q
what should you always look for in these types of fractures?
A
- neurovascular compromise
- median and radial nerve damage
8
Q
how should they be treated?
A
- reduce fracture under anaesthesia
- surgical reduction if unstable or very displaced
9
Q
what complications can you get?
A
- median/ ulnar nerve damage
- AVN (scaphoid)
- compartment syndrome
- deformity
- arthritis
- usually takes 6 weeks to heal
