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Colles Fracture

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Other Names

  • Distal radius fracture
  • Colle's fracture

Background

  • This page refers to Colles fracture, the most common extra-articular fracture of the distal Radius

Pathophysiology

  • Fracture of the distal radial metaphyseal region with dorsal angulation and impaction
  • Commonly occurs as a result of fall on outstretched hand (FOOSH)
    • Forearm pronated in dorsiflexion (as if to brace for the fall)
  • Most common distal radius fracture (need citation)

Risk Factors


Differential Diagnosis

Distal Radius Fractures

Differential Diagnosis Wrist Pain


Clinical Features


Evaluation

Radiographs


Classification

  • Not applicable

Management

Nonoperative

Operative

  • Indications
  • Unstable Fracture
  • Unsatisfactory closed reduction
    • > 10° dorsal angulation
    • > 5 mm shortening
    • significant comminution

Return to Play

  • Nonoperative will require at least 6 weeks
  • Surgically managed cases at the discretion of the surgeon

Complications


See Also


References

Created by:
John Kiel on 4 July 2019 07:02:07
Authors:
Last edited:
13 October 2022 21:39:06
Categories:
Trauma | Osteology | Wrist | Forearm | Upper Extremity | Fractures | Acute