FRATURA DE COLLES E SMITH PDF

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 fragment s. Classically, these fractures are extra-articular transverse fractures and can be thought of as a reverse Colles fracture. The term is sometimes used to describe intra-articular fractures with volar displacement reverse Barton fracture or juxta-articular fractures The fracture can be split into three types, although in practice a description suffices 1,2 :.

Author:Vor Saramar
Country:Japan
Language:English (Spanish)
Genre:Personal Growth
Published (Last):20 November 2006
Pages:133
PDF File Size:8.33 Mb
ePub File Size:16.16 Mb
ISBN:480-6-75403-879-9
Downloads:83894
Price:Free* [*Free Regsitration Required]
Uploader:Samuzragore



They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface. This article describes radiographic features to check for and possible complications. They are particularly common in patients with osteoporosis , and as such, they are most frequently seen in elderly women.

The relationship between Colles fractures and osteoporosis is strong enough that when an older male patient presents with a Colles fracture, he should be investigated for osteoporosis because his risk of a hip fracture is also elevated 1. Younger patients who sustain Colles fractures have usually been involved in high impact trauma or have fallen, e. Most Colles fractures are secondary to a fall on an outstretched hand FOOSH with a pronated forearm in dorsiflexion the position one adopts when trying to break a forward fall.

The proximal row of the carpus particularly the lunate and scaphoid transfer energy to the distal radius, both in the dorsal direction and along the long axis of the radius. Most fractures are therefore dorsally angulated and impacted. A number of classification systems exist for distal forearm fractures.

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 As such, in clinical practice, the use of the term Colles fracture with an appropriate description of any associated injuries is sufficient in most instances. Plain films usually suffice, although if there is a concern of intra-articular extension, then CT may be beneficial. The plain radiographic series often comprises an AP and a lateral view; however, it is not uncommon for an oblique view to be included.

The fracture appears extra-articular and usually proximal to the radioulnar joint. Dorsal angulation of the distal fracture fragment is present to a variable degree as opposed to volar angulation of a Smith fracture. If dorsal angulation is severe enough, a dinner dinner fork deformity may be described.

There is also usually impaction with resultant shortening of the radius. In addition to noting the presence of a fracture a number of features should be sought and commented upon:. The vast majority of Colles fractures can be treated with closed reduction and cast immobilization.

The cast extends from below the elbow to the metacarpal heads and holds the wrist somewhat flexed and in ulnar deviation 4 - for those of you familiar with Australian rules football; this position is reminiscent of the position adopted when holding a ball in preparation for a kick.

This cast is known as a Colles cast 4. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait. Unable to process the form. Check for errors and try again. Thank you for updating your details. Log In. Sign Up. Log in Sign up.

Articles Cases Courses Quiz. About Blog Go ad-free. As of the latest update, Google Chrome and Microsoft Edge have made a breaking change to how file uploads are handled. Once your system installs this update, you will not be able to upload new images.

Please use another browser until we can get it fixed. On this page:. Quiz questions. Teaching Atlas of Musculoskeletal Imaging. Thieme Medical Pub. Read it at Google Books - Find it at Amazon. Edit article Share article View revision history Report problem with Article. URL of Article. Article information. Systems: Musculoskeletal , Trauma. Tags: fracture , wrist , eponymous , fracture. Synonyms or Alternate Spellings: Colles' fracture Colles fractures.

Support Radiopaedia and see fewer ads. Cases and figures. Figure 1: Colles fracture illustration Figure 1: Colles fracture illustration. Case 1 Case 1. Case 2 Case 2. Case 3 Case 3. Case 5 Case 5. Case 6 Case 6. Case 7 Case 7. Case 8 Case 8. Imaging differential diagnosis.

Case 1: normal radial beak Case 1: normal radial beak. Loading more images Close Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Loading Stack - 0 images remaining. By System:. Patient Cases. Contact Us.

CRIACIONISMO X EVOLUCIONISMO PDF

Distal Radius Fractures

Desses quatro pacientes, dois eram do sexo feminino e dois do masculino. O lado esquerdo foi o acometido em dois pacientes e o direito em um. A dor foi anotada de acordo com a queixa do paciente. Watson-Jones 13 , em , encontrou apenas um caso entre 3. Recentemente, foram descritos artigos com cinco e doze casos 3,4. Segalman et al. Dos nove pacientes do tipo A, por eles tratados, seis foram submetidos a artrodese do punho.

DRAFTSIGHT FUNDAMENTALS FLIPBOOK PDF

Smith's 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. This article describes radiographic features to check for and possible complications. They are particularly common in patients with osteoporosis , and as such, they are most frequently seen in elderly women. The relationship between Colles fractures and osteoporosis is strong enough that when an older male patient presents with a Colles fracture, he should be investigated for osteoporosis because his risk of a hip fracture is also elevated 1. Younger patients who sustain Colles fractures have usually been involved in high impact trauma or have fallen, e. Most Colles fractures are secondary to a fall on an outstretched hand FOOSH with a pronated forearm in dorsiflexion the position one adopts when trying to break a forward fall.

Related Articles