How can you tell the difference between a Colles and Smith fracture?
A Smith fracture is an eponym for an extraarticular fracture of the distal radius featuring a volar displacement or angulation of the distal fragment. It is also known as a reverse Colles fracture since the more common Colles fracture features a dorsal displacement of the distal fracture fragment.
Which nerve is affected in Smith fracture?
Research suggests that up to 15% of Smith’s fractures may show symptoms of acute carpal tunnel syndrome from compression to the median nerve. Both radial and ulnar nerve compression are less commonly involved. Acute compartment syndrome of the forearm is also seen in Smith’s Fracture.
What is Barton’s fracture?
A Barton fracture is a compression injury with a marginal shearing fracture of the distal radius. The most common cause of this injury is a fall on an outstretched, pronated wrist.
How does a Colles fracture differ from other fractures?
A distal radius break is when the bone breaks about 1 inch from the wrist on the thumb side. A Colles fracture is a type of distal radius break and occurs when the broken piece of bone points upwards.
Which nerve is affected in Colles fracture?
A Colles’ fracture is a type of fracture of the distal forearm in which the broken end of the radius is bent backwards. Symptoms may include pain, swelling, deformity, and bruising. Complications may include damage to the median nerve. It typically occurs as a result of a fall on an outstretched hand.
What is a Bennett’s fracture?
The Bennett fracture is the most common fracture involving the base of the thumb. This fracture refers to an intraarticular fracture that separates the palmar ulnar aspect of the first metacarpal base from the remaining first metacarpal.
How serious is Colles fracture?
The distal part of the radius is the end near your wrist. When you have a Colles’ wrist fracture, the distal end breaks, which can cause your wrist to bend in an abnormal way. This injury is very painful. You might not be able to hold or grip anything, and your wrist will be swollen.
Why Colles fracture is called dinner fork deformity?
A dinner fork deformity, also known as a bayonet deformity, occurs as the result of a malunited distal radial fracture, usually a Colles fracture. The distal fragment is dorsally angulated, displaced and often also impacted.
What is the treatment for a Colles fracture?
The most important treatment initially is immobilizing your wrist in a splint. You can simply use a magazine wrapped around your wrist to help support it. Elevate your wrist above the level of your heart to prevent further swelling. Putting an ice pack on the injury also helps reduce swelling.
Where is Bennett’s fracture?
How do you know if you have Bennett’s fracture?
Symptoms of Bennett’s fracture Severe pain and weakness of the thumb. Swelling of the base of the thumb and back of the hand. Bruising. Misalignment of the thumb.
What kind of fracture is a reverse Barton fracture?
Reverse Barton fractures, also known as volar type Barton fractures, represents an intra-articular distal radial fracture with volar displacement. In fact, the reverse Barton fracture is a type II Smith fracture: oblique distal intra-articular radial fracture 1,2. For a discussion of this fracture refer to the article on Smith fractures. See also.
Is there such a thing as a reverse Colles fracture?
A Smith’s fracture, also sometimes known as a reverse Colles’ fracture or Goyrand-Smith’s, is a fracture of the distal radius.
What’s the difference between a Colles and a Smith Fracture?
Smith fractures are fractures of distal radius that occur as the result of a fall on a flexed wrist. Similarly, they consist of fracture of distal radial metaphyseal region but with volar angulation and impaction. Classically, Smith fractures are extra-articular and has been described also as reverse Colles.
What is the distal end of a Colles fracture?
• Usually in older women. • Fall on a out stretched hand. 3. Colles’ Fracture It is a Transverse fracture of the distal end of the radius at its Cortico-Cancellous Junction with typical Dorsal Displacement of the distal fragment. 4.