He was the first to differentiate the fracture of the lower distal radius from wrist dislocations. Colles fracture definition, treatment, complications. This page was last edited on 26 august 2019, at 18. First described by kapandji, the double closed basketlikepinning is a new and quite attractive treatment of the colles fracture. They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface. Based on this configuration, it can be thought of as a reverse colles fracture. The irish surgeon abraham colles described drfs in the 1814 volume of the edinburgh medical surgical journal. About 4 weeks ago i break my wrist colles fracture of the right distal radius and had it treated in the er in a us hospital who referred me to a local orthopaedic surgeon.
Colles fracture risks, symptoms and leading causes treato. All structured data from the file and property namespaces is available under the creative commons cc0 license. A true colles fracture is known as an extraarticular fracture, meaning the break does not enter the cartilage portion of the wrist joint. View colles fracture ppts online, safely and virusfree. Colles fracture dinner fork deformity orthopedics a fracture of the distal radius at the wrist due to a fall on an outstretched hand, where the distal fx fragment is angled upwardsdorsal angulation, imparting a forklike appearance colles fracture kolez frakshur. Fraktur colles download as powerpoint presentation. F racture of the distal radius is one of the most common injuries in orthopaedics, accounting for up to 15% of all extremity fractures. Basically, it occurs when the radius of the bone in the forearm breaks. Sep 14, 2019 smith acknowledged the work of petit and pouteau work but believed colles name should be related to the fracture. Ernest amory codman was the first to study it using xrays.
The relationship between colles fractures and osteoporosis is strong enough that when an older male patient presents with a colles fracture. The radius is the larger of the two main bones in the forearm. All about myself faysal ahammed bpt 5th batch4th year roll. External pin fixation for unstable colles fractures. Mar 19, 2019 a distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. Colles fracture is defined as a linear transverse fracture of the distal radius approximately 2035 mm proximal to the articular surface with dorsal angulation of the distal fragment. Stabilization and treatment of colles fractures in. Treatment for a colles fracture will aim vracture get all the broken bones back in the right places and to keep them there until they have healed. Colles fracture kolez, a fracture of the distal radius with displacement andor angulation of the distal fragment dorsally. The below brief video gives a summary of colles fractures.
Background a colles fracture occurs as a transverse fracture of the metaphyseal region of the distal radius, approximately 2540 mm proximal to the radiocarpal joint, and is associated with. Colles fractures are very common extraarticular fractures of the distal radius that occur as the result of a fall onto an outstretched hand. Volar tilt, oblique upwards and forward goyrandsmith23a2. Immediate first aid consists of splinting the bone with no attempt to. Fracture, pouteaucolles, extremite inferieure distale du radius. Treatment of this fracture is usually done by open reduction and. In united states, the explicit capacitydesign approach has been fully incorporated into the newest seismic provisions for structural steel buildings aisc analysis two. Colles fracture fracture of the distal radius bone.
An assessment tool for predicting fracture risk in postmenopausal osteoporosis. In 1841, guilaume dupuytren acknowledged the contributions by petit and pouteau, agreeing that the distal end radius fracture is indeed a fracture, not a dislocation. They are particularly common in patients with osteoporosis, and as such, they are most frequently seen in elderly women. Colles fractures fractures of the distal radius are extremely common in the elderly. The collespouteau fracture of the lower end of the radius. Colles fracture definition of colles fracture by medical. Although his description was based on clinical examination alone because radiography had not yet been invented, it is quite accurate, and it is colles name that is most often associated with this fracture in the englishspeaking world. Abraham colles 23 july 1773 16 november 1843 was professor of anatomy, surgery and physiology at the royal college of surgeons in ireland rcsi and the president of rcsi in 1802 and 1830. Colles fractures definition of colles fractures by. Classically, these fractures are extraarticular transverse fractures and can be thought of as a reverse colles fracture the term is sometimes used to describe intraarticular fractures with volar displacement.
Instead, the break is just above the level of the joint. May 26, 2015 animated description of a closed reduction of a dorsally angulated distal radius fracture. Association between selfreported prior wrist fracture and risk of subsequent hip and radiographic vertebral fractures in older women. Aug 06, 2018 the irish surgeon abraham colles described drfs in the 1814 volume of the edinburgh medical surgical journal. Results the cases of 106 patients presenting a fracture of pouteaucolles were studied among 174 fractures of the distal radius. The forearm between the wrist and elbow consists of two bones radius and ulna.
Pain swelling deformity there is classic dinnerfork deformity seen in colles fracture. Aisd the last section, the design results are compared and the general observations are made from this comparative design study. In 1945, there were 650 colles fractures out of 1,071 radial fractures. Welcome to my presentation which is the part of teaching methodology 2. This surgeon from lyons wrote a paper published in his posthumous. The colles fracture is named after abraham colles 17731843, an irish surgeon, from kilkenny who first described it in 1814 by simply looking at the classical deformity before the advent of xrays. Symptoms include pain, bruising, and rapidonset swelling. Stabilization and treatment of colles fractures in elderly. A colles fracture is a type of fracture of the distal forearm in which the broken end of the radius.
In 1814, abraham colles described the characteristics of distal end radius fracture. Radial styloid process lies in the same level or little higher than the ulnar styloid process. With dorsal tilt, oblique fracture upward and back pouteaucolles 23a2. Colles fracture, named after and described by abraham colles in 1814, is a fracture of the distal radius in the forearm with specific dorsal and radial displacement of the wrist and the hand. Files are available under licenses specified on their description page. Montreal, canada introduction aout one hundred and twentyfive years ago abraham colles,1 an eminent dublin surgeon, described in very accurate detail a fracture of the lower end of the radius which occurs as the result of a fall upon the outstretched hand. Colles fractures fractures of the distal radius are extremely common. A bartons fracture is an intraarticular fracture of the distal radius with dislocation of the intraarticular component distinguishes this fracture from a smiths or a colles fracture. While the original description of a colles fracture was a dorsally displaced, extraarticular distal radius fracture, often the name of a colles. Smith fractures, also known as goyrand fractures in the french literature 3, are fractures of the distal radius with associated volar angulation of the distal fracture fragments. Animated description of a closed reduction of a dorsally angulated distal radius fracture. Its also known as a distal radius fracture, transverse wrist fracture, or a dinnerfork deformity of the wrist.
An improved understanding of kinematics, bone quality, and muscle forces acting across the fracture has led to increased awareness. They are the most common fractures in women in the united states and northern europe up to the age of 75 years, with a lifetime risk of. Named by robert william smith 18071873 who was a surgeon in dublin, ireland. Poignet gauche suite a fracture type pouteau colles. Distal radius colles fractures musculoskeletal medicine. Pdf although colles fracture is a common clinical situation for the contexto e objetivo. This is a common fracture in elderly patients, consisting of a transverse fracture of the distal radial metaphysis proximal to the joint with dorsal displacement of the distal fragment and volar dislocation. Traitement orthopedique il sadresse aux fractures non ou peu deplacees mais. Patients with prior fractures have an increased risk of future fractures. Wolfe with the wide array of treatment options now available, this is an exciting era for the treatment of fractures of the distal radius. The topic colles fracture you are seeking is a synonym, or alternative name, or is closely related to the medical condition distal radius fracture quick summary. Genetic studies and family pedigree surveys have confirmed this association. Maisonneuve fracture le fort fracture of ankle bosworth fracture.
Pdf stabilization and treatment of colles fractures in. The ulna bone may also be broken in younger people, these fractures typically occur during sports or a motor vehicle collision. Colles fractures are the most common type of distal radial fracture and are seen in all adult age groups and demographics. It is named after robert william smith, who followed abraham colles as professor of surgery at trinity college in dublin. A smiths fracture is a fracture of the distal radius with volar palmar displacement of the hand and wrist distal to the fracture. A colles wrist fracture occurs when the radius bone in your forearm breaks. In the two years studied most thoroughly 1945 and 1949, colles fracture was found to constitute by far the most frequent individual fracture of the radius.
Closed reduction of a distal radius fracture youtube. The colles fracture is one of the most common and challenging of the outpatient fractures. The irish surgeon abraham colles described drfs in the volume of the edinburgh medical surgical journal. With or without xr tv, following closed reduction, the epiphysis is fixed steady with two kirschner wires, sliding along its lateral and its posterior aspects, entering the radius at the fracture site and transfixing the bone cortex above. A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. He even referred to pouteaus comment in his defining of the colles fracture there is no fracture the existence of which it is more easy to tell at a single coup doeil look of the eye smith 1847. Colles fracture is a fracture of the lower end of the radius, within 1 in.
He succeeded abraham colles colles fracture as professor of surgery at trinity college, dublin. Colles fracture dinner fork deformity orthopedics a fracture of the distal radius at the wrist due to a fall on an outstretched hand, where the distal fx fragment is angled upwardsdorsal angulation, imparting a forklike. These fractures tend to result in displacement in elderly people because they have osteoporotic bone. In older people, the most common cause is falling on. The socalled pouteau colles fracture was never specifically described by pouteau.
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