Fractures Flashcards
define Colle’s fracture
a fracture occurring upon a fall on an outstretched wrist
- occurs mainly in older osteoporotic women
result of Colle’s fractures
distal radial fracture
dorsal displacement of distal fragment
clinical features of Colle’s fractures
swelling of distal radius
‘dinner fork’ deformity of the wrist
indications for surgery in Colle’s fractures
intraarticular extension of fracture
significant angulation
unsatisfactory closed reduction
loss of height on impaction
management of Colle’s fractures
manipulation to reduce fracture (i.e. brace/cast)
immobilisation 3-4wks
surgical management of Colle’s fractures
open reduction and internal fixation with plates and screws
complications of Colle’s fractures
median nerve injury
carpal tunnel syndrome
frozen shoulder
mal/non-union
define Smith’s fractures
fractures of distal radius associated with volar angulation of distal fracture fragments
occur due to fall onto flexed wrist or direct blow to back of wrist
result of Smith’s fractures
extra-articular transverse fracture through distal radius (Type I)
intra-articular oblique fracture (Type II)
treatment of Smith’s fractures
closed reduction and cast application
surgical management of Smith’s fractures
operative fixation (ORIF)
define Monteggia fractures
fractures involving the proximal 1/3rd of the ulnar shaft and anterior dislocation of the radial head at capitellum
define Galeazzi fractures
fractures involving the distal 1/3rd of the radial shaft and dislocation of the radio-ulnar joint
management of unstable Galeazzi and Monteggia fractures
in adults: open repair
in children: manipulation under anaesthetic with a cast
define clavicle fractures
a fracturing of the clavicle (often in the middle 1/3rd) that occurs either due to a fall onto an outstretched hand or direct shoulder trauma
