One of the more popular is the Frykman classification system, although it fails to distinguish between Smith and Colles fractures as it is based on AP radiographs 2,3. A number of classification systems exist for distal forearm fractures. In fractures with dorsal displacement of fragments, it is more difficult to restore volar tilt from a volar approach.Ĭolles fracture Smith fracture distal radius fracture radius. Most fractures are therefore dorsally angulated and impacted. This mnemonic is for remembering the technique of closed manipulation: S for shake hands and give traction. In fractures of the distal radius, the type of displacement has no significant effect on the final outcome of surgical plate fixation. (Colles fracture presents with swelling and pain at the wrist, seen in osteoporotic menopausal women, who fall on the outstretched hand.) SPOO. The only significant difference in the radiographic parameters investigated was in volar tilt, which was normal in the group of patients with Smith fractures (11°), whereas in the group with Colles fractures it was 5°.ġ. With Colles fractures, the displaced radial fragment moves posteriorly, or dorsally, and the ulnar styloid process can also become fractured. However, these differences were not statistically significant. There’s two kinds: Colles fracture, which are a direct result of falling on an extended wrist, and Smith fracture, which results from falling on a flexed wrist, or a direct blow to the posterior forearm. Colles fracture :- Frykmanns Classification :: 1) Intra articular. The mean quickDASH score was 18.2 points for Colles fractures and 20.5 points for Smith fractures. Smiths Fracture is a fracture of the distal end of the radius caused by a. Smith's fracture: arm in fall position makes a 'S' shape. The mean Mayo Wrist Score was 72.8 points for Colles fractures and 68.3 points for Smith fractures. Smith's Colle's fracture: arm in fall position makes a 'C' shape. Radiographic follow-up assessments included radial inclination, radial height, volar tilt and articular step-off. The results were evaluated using the quickDASH and Mayo Wrist Score. extension fracture).Ī group of 25 patients with Colles fractures and 25 patients with Smith fractures treated surgically in the years 2012-2013 was analysed retrospectively. Included in this review: Polymyositis & Dermatomyositis, Reactive Arthritis, Rheumatoid Arthritis, Sjogren Syndrome, Systemic Sclerosis (Scleroderma), Systemic Lupus Erythematosus, Fibromyalgia, Gout, Calcium Pyrophosphate Crystal Deposition Disease (Pseudogout), Juvenile rheumatoid arthritis, Osteoporosis, Polyarteritis nodosa, Polymyalgia rheumatica, Anterior Glenohumeral Dislocation, Posterior Glenohumeral Dislocation, Rotator Cuff Injuries, Rotator Cuff Tear, Adhesive Capsulitis/ Frozen Shoulder, Supracondylar Humerus Fractures, Radial Head Fractures, Ulnar Shaft (Nightstick) Fracture, Monteggia & Galeazzi Fractures, Radial Head Subluxation / Nursemaid Elbow, Medial Epicondylitis, Lateral Epicondylitis, Cubital Tunnel Syndrome / Ulnar Neuropathy, Carpal Tunnel Syndrome, Scaphoid (Navicular) Fracture, Distal Radius Fractures (Colles vs.The aim of the present study was to assess the effectiveness of surgical treatment of distal radial fractures following open reduction and fixation with an angle-stable plate in relation to the type of injury (flexion vs. Review for your PANCE, PANRE, Eor's and other Physician Assistant exams. 50 High Yield Musculoskeletal/Rheumatology Questions.
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