Fractures of the distal radius (Colles’ fracture). Fraturas do rádio distal (Fratura de Colles). João Carlos Belloti; João Baptista Gomes dos. PDF | Although Colles’ fracture is a common clinical situation for the CONTEXTO E OBJETIVO: Embora as fraturas de Colles sejam uma. Colles fractures are very common extra-articular fractures of the distal radius that occur as the result of a fall onto an outstretched hand. They consist of a fracture.

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You can help Wikipedia by expanding it. There is also usually impaction with resultant shortening of the radius. Among the complications from conservative intervention were residual pain, impaired joint mobility, malunion of the fracture and reflex sympathetic dystrophy.

Fractures of the distal radius (Colles’ fracture)

Barton’s fracture A palmar Barton’s fracture of the right wrist, as shown on a 3D-rendered CT scan A Barton’s fracture is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint. The text of the questionnaire was as follows our coples translation from Portuguese: A palmar Barton’s fracture of the right wrist, as shown on a 3D-rendered CT scan.

Articles Cases Courses Quiz. Brazilian orthopedists have concordant opinions regarding conservative treatment methods and the use of bone grafts.

Barton’s fracture

Proximal Supracondylar Holstein—Lewis fracture. There are also growing ethical and legal demands for cosmetic and functional results for patients.

The main factors in making decisions on interventions in fracture cases were whether the fracture was intra-articular, the existence rfatura shortening of the distal radius and the patient’s age. Colles’ fracture is one of the most common among older white people. Although Colles’ fracture is a common clinical situation for the orthopedist, we did not find any information in the literature that would allow safe decision-making on the coles treatment for each fracture type.


The relationship between Colles fractures and osteoporosis is strong enough that when an older male patient presents with a Colles fracture, he should be investigated for osteoporosis because his risk of a hip fracture is also elevated 1. Anaesthesia for treating distal radial fracture in adults. Younger patients who sustain Colles fractures have usually been involved in high impact trauma or have fallen, e.

Basilar skull fracture Blowout fracture Mandibular fracture Nasal fracture Le Fort fracture of skull Zygomaticomaxillary complex fracture Zygoma fracture. This article fragura radiographic features to check for and possible complications.

We found in the literature a great number of papers on the several types and methods for treating these fractures, but without any definitions ve the best treatment option for each fracture type. This cast is known as a Colles cast 4. They recommended that new studies of good methodological quality should be conducted in order to supply better evidence for making decisions on the volles appropriate treatment.

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The aim of the present study was to investigate Brazilian orthopedists’ opinions regarding the main aspects of treatments for Colles’ fracture. The plain radiographic series often comprises an AP and a lateral view; however, it is not uncommon for an oblique view to be included.

Case 6 Case 6. In addition to noting the presence of a fracture a number of features should be sought and commented upon:.

Fractures and cartilage injuries Sx2— By using this site, you agree to the Terms of Use and Privacy Policy. Unable to process the form. However, some of the evidence indicated that local anesthesia hematoma block produced worse analgesia than did intravenous regional anesthesia, and thus it hinders fracture reduction.

Intra-articular component distinguishes this fracture from a Smith’s or a Colles’ fracture. Handoll HH, Madhok R.


Five hundred questionnaires containing 12 items were randomly distributed to orthopedists who were attending the congress; were filled out correctly and were considered in this study.

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Most fractures are therefore dorsally angulated and impacted. Only take into consideration fractures of the distal radius in patients over 40 years old, except for cases of fractures caused by avulsion and Barton’s fracture. Green’s operative hand surgery. There is no evidence favoring one method for closed reduction over another.

Most of the interviewees only used bone grafts for osseous gaps in special cases. The most frequent complications from surgical treatment were related to plate synovitis, adhesions, infection and reflex sympathetic dystrophy. There was no conclusive evidence in the literature regarding any correlation between the treatment method used surgical or conservative treatment and higher frequency of any specific type of complication. A number of classification systems exist for distal forearm fractures.

These studies concluded that there was no evidence that would allow decision-making regarding the best treatment, anesthesia and rehabilitation methods for each type of fracture of the distal radius. The closed reduction method most used was manual reduction. From Wikipedia, the free encyclopedia. Although the Frykmann classification is very widely used, it does not supply the minimum backing necessary for planning the treatment, 11 since it essentially only supplies morphological data on the fracture and thus is not a recommended method.

Nonetheless, there was some favorable evidence supporting the use of external fixation and percutaneous pinning. Teaching Atlas of Musculoskeletal Imaging.