colles' fracture
TRANSCRIPT
Definition
A Colles’ fracture is a break in the distal part of the radius bone 2.5cm above from the articular surface
Inventor Abraham colles a surgeon, in 1884
IncidenceNot more common fractureBut Frequently occur in young
adultBasically those who are over 40
years.
Rick FactorsFactors which increase the chance of
fractures are 1.Osteoporosis2.Poor nutrition 3.Condition that increase risk of falling Snow ,Ice, Loss of agility or muscle
strength4.Advancing age5.Post menopause6.Decrease muscle mass.
Associated injury
Tendon:Rupture of extensor policis longus and peritendinious adhesion of both the flexor and extensor compartments may occur.
Nerves:Nerve injuries include median nerve contusion ,resulting in the development of carpal tunnel syndrom.
TypesOpen fractureClose fractureIntra articular fractureExtra articular fractureComminuted fracture.
Sign & SymptomsSnap or cracking soundMost of the time a person will
know if he have a broken armArea will be tender & swollenObvious deformityDecrease sensation or irritability
to move the limb, which may indicate nerve damage.
DeformityVolar angulations of the apex of
the fractureThe deformity is called “Silver
fork deformity ”or “Dinner fork deformity”
ManagementReduction: –Manipulative
reduction under anesthesia.Immobilization: By Plaster
cast(below elbow),ORIF(open reduction internal fixation),OREF(open reduction external fixation)
Objectives of rehabilitation
Maintain joint range of motionIncrease muscle strengthImprove functional ability
Exercise programme During reduction plaster cast -Uninvolved joint active rang
of motion -Wrist joint passive supination
& pronation -Isometric hand muscle
exercise
continue
After removal the cast -Mobilized the affected
wrist -Start some strengthening
exercise -Start weight bearing
exerciseLater stage Advance exercise ,full
weight bearing exercise
Complication MalunionRupture of extensor pollicis
tendonSudeck’s osteostrophyCarpal tunnel syndromNon union
Prognosis Expected time for healing 6th to
8th weeks until the fracture is stable.
Earlier treatment usually improves the result
Chronic disease such as osteoporosis and diabetes may slow the healing time.