fracture of distal radius
TRANSCRIPT
![Page 1: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/1.jpg)
FRACTURE OF DISTAL RADIUS
NUR HANISAH BINTI ZAINOREN
![Page 2: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/2.jpg)
ANATOMY
![Page 3: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/3.jpg)
TYPES
1. COLLES’ FRACTURE2. SMITH’S FRACTURE3. BARTON’S FRACTURE
![Page 4: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/4.jpg)
COLLES’ FRACTURE
• Fracture at the distal end of the radius, at its cortico-cancellous junction, with dorsal tilt and other displacements, in an osteoporotic bone
![Page 5: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/5.jpg)
Other displacements (1/> displacements below occur in majority of the cases; although in few cases it may be crack fracture without displacement)
o Impaction of fragmentsoDorsal displacementoDorsal tilto Lateral displacemento Lateral tilto Supination
![Page 6: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/6.jpg)
Injuries associated with Colles’ fracture:
o Fracture of the styloid process of the ulnaoRupture of the ulnar collateral ligamentoRupture of the triangular cartilage of the ulnaoRupture of the interosseous radio-ulnar ligament,
causing radioulnar subluxation
![Page 7: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/7.jpg)
Clinical features:
oPaino SwellingoDeformity of the wristoOn examination;
Tenderness Irregularity of the lower
end of radius
Radiological features: (Differentiated from other fractures at the same site by looking at the displacements)
oDorsal tilt can be detected on a lateral X-ray:
normal faces ventrally dorsal tilt faces dorsally or
becomes neutral
o Lateral tilt can be detected on an AP X-ray:
normal faces medially lateral tilt faces laterally or
becomes horizontal
![Page 8: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/8.jpg)
![Page 9: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/9.jpg)
Treatment:
oUndisplaced fracture immobilization in a below-elbow plaster cast for 6 weeks
oDisplaced fracture manipulative reduction followed by immobilization in Colles’ cast
![Page 10: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/10.jpg)
Complications:1. Stiffness of joints2. Malunion3. Subluxation of the inferior radio-ulnar joint4. Carpal tunnel syndrome5. Sudeck’s osteodystrophy6. Rupture of the extensor pollicis longus tendon
![Page 11: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/11.jpg)
![Page 12: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/12.jpg)
![Page 13: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/13.jpg)
SMITH’S FRACTURE
• Fracture at the distal end of the radius, at its cortico-cancellous junction, with ventral tilt and other displacements
• Uncommon
• Treatment:• Closed reduction • Plaster cast immobilization (6
weeks)
![Page 14: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/14.jpg)
![Page 15: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/15.jpg)
![Page 16: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/16.jpg)
BARTON’S FRACTURE
• Intra-articular fracture of the distal radius
• Extends from the articular surface of the radius to either its anterior/posterior cortices
• The small distal fragments gets displaced and carries with it, the carpals
![Page 17: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/17.jpg)
• Displacements:• Volar Barton’s fracture
(anterior type)• Dorsal Barton’s fracture
(posterior type)
• Treatment:• Closed manipulation • ORIF with plate in cases
where closed reduction fails
![Page 18: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/18.jpg)
REFERENCE
• Essential Orthopaedics, 4th Edition, Maheshwari & Mhaskar, JAYPEE
![Page 19: Fracture of distal radius](https://reader036.vdocuments.mx/reader036/viewer/2022081416/587b042b1a28ab93488b6f11/html5/thumbnails/19.jpg)
Thank you