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    Colle's Fracture

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    madheswari
    Colles' fracture is a fracture of the distal radius near the wrist. It occurs most commonly in postmenopausal women after falling on an outstretched hand. The fracture line runs transverse to the radius. Displacements can include dorsal or lateral tilting. Treatment involves closed manipulation and casting, while more displaced fractures may require percutaneous pinning or plating. Complications can include joint stiffness, malunion, subluxation of the distal radio-ulnar joint, or median nerve issues.

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    Colle's Fracture

    Uploaded by

    madheswari
    296 views7 pages
    Colles' fracture is a fracture of the distal radius near the wrist. It occurs most commonly in postmenopausal women after falling on an outstretched hand. The fracture line runs transverse to the radius. Displacements can include dorsal or lateral tilting. Treatment involves closed manipulation and casting, while more displaced fractures may require percutaneous pinning or plating. Complications can include joint stiffness, malunion, subluxation of the distal radio-ulnar joint, or median nerve issues.

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    Colles fracture

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    Colle’s Fracture

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    Colles' fracture is a fracture of the distal radius near the wrist. It occurs most commonly in postmenopausal women after falling on an outstretched hand. The fracture line runs transverse to the radius. Displacements can include dorsal or lateral tilting. Treatment involves closed manipulation and casting, while more displaced fractures may require percutaneous pinning or plating. Complications can include joint stiffness, malunion, subluxation of the distal radio-ulnar joint, or median nerve issues.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    296 views7 pages

    Colle's Fracture

    Uploaded by

    madheswari
    Colles' fracture is a fracture of the distal radius near the wrist. It occurs most commonly in postmenopausal women after falling on an outstretched hand. The fracture line runs transverse to the radius. Displacements can include dorsal or lateral tilting. Treatment involves closed manipulation and casting, while more displaced fractures may require percutaneous pinning or plating. Complications can include joint stiffness, malunion, subluxation of the distal radio-ulnar joint, or median nerve issues.

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    COLLE’S FRACTURE

    Definition:
    • Fracture at the distal end of the radius at it’s cortico-cancellous junction
    about 2 cm from the distal articular surface.
    Risk Factors:
    • Above 40 years of age
    • Postmenopausal osteoporosis
    • Falling on an out stretched hand
    Anatomy:
     Radio-ulnar joint
     Radio-carpal joint
     The tip of the radial styloid is 1 cm distal to
    the tip of the ulnar styloid
    Pathoanatomy:
     The fracture line travels transversely at the cortico cancellous junctions.
     In some cases one or more displacements may occur.
    Displacement:
     Impaction of fragments
     Dorsal displacement
     Dorsal tilt
     Lateral displacement
     Lateral tilt
     Supination
    Injuries associated with Colle’s fracture:

     Fracture of ulnar styloid process


     Rupture of ulnar collateral ligament
     Rupture of triangular cartilage of ulna
     Interosseous radio-ulnar ligament rupture causing radio-ulnar subluxation
    Diagnosis:
     Patient presents with pain ,swelling and deformity of the
    Wrist along with irregularity of the lower end of radius.
     DINNER FORK DEFORMITY
     The radial styloid process would lie at the same level or a
    Little higher than the ulnar styloid process.
    Radiological features:
     The dorsal tilt is the most characteristic displacement.
     The distal articular surface of the radius normally faces ventrally and after fracture faces dorsally
    While examining a lateral X ray view of the wrist.
     Similarly a lateral tilt can be detected in the antero-posterior view.
    Treatment:
     Usually conservative
     For undisplaced fracture immobilization in below elbow plaster cast for six weeks.
     For displaced fracture manipulative reduction with Colle’s cast.
    Technique of closed manipulation:
     Muscles of forearm are relaxed by anaesthesia.
     To disimpact the fragments longitudinal traction
    to the hand against the counter traction on the arm
    above the flexed elbow.
     The distal fragment is pressed into palmer flexion and ulnar
    deviation using the thumb of his other hand while the patient’s
    hand is drawn into pronation.
     A plaster cast is applied below the elbow extending to the
    Metacarpal heads.
     X ray is taken every week for the first 3 weeks to detect
    re-displacement.
     Removed after 6 week with joint and muscle excercises.
     Fractures transfixed percutaneously using two K wires incorporated into the plaster
     Ligamentoraxis
     LCP (Locking Compression plate)
    Complications:
    1.Stiffness of joints
    Commonest complication with shoulder,elbow,wrist joints are affected.
    Prevented by actively mving joints.
    2.Malunion:
    Redisplacement within the plaster.Corrected by osteotomy.
    3.Subluxation of inferior radio-ulnar joint:
    Shortening of radius. Ulnar head becomes prominent. Wrist movement becomes painful.
    Excision of lower end of ulna. (Darrach’s excision)
    4.Carpal tunnel syndrome: Compression of the median nerve. Treatment is decompression.
    5.Sudeck’s osteodystrophy:
    Pain,stiffness,swelling with overlying skin stretched and glossy. Treatment is physiotherapy.
    6.Rupture of extensor pollicis longus tendon: Rare complication which occurs due to loss of
    blood supply to the tendon or due to friction. Tendon transfer.

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