He succeeded Abraham Colles ( Colles fracture) as Professor of Surgery at Trinity College, Dublin. Named by Robert William Smith (1807-1873) who was a surgeon in Dublin, Ireland. History and etymologyįirst named for Jean-Gaspard-Blaise Goyrand, French physician (1746-1814) 4. More importantly, it also narrows and distorts the entry to the carpal tunnel and can result in carpal tunnel syndrome 1. Malunion, with a residual volar displacement of the distal radius results in a cosmetic deformity, referred to as a garden spade deformity. If the fracture can be reduced but remains unstable, or cannot be reduced then operative fixation ( ORIF) is usually required 1. In most cases, these fractures can be treated with closed reduction and cast application 1. Treatment depends on the type of fracture, stability and ability to successfully reduce the fracture. assess articulation of radio-lunate and radio-scaphoid joint.ensure no carpal malalignment or fractures are present.location (extra-, juxta- or intra-articular).In addition to reporting the presence of a distal radial fracture with volar angulation a number of features should be sought and commented upon: In intra-articular fractures (type II) the degree of articular step-off and gap should be assessed, and this may require CT. The fracture line is usually evident, although in undisplaced or mildly impacted fractures it can be difficult to see and subtle cortical breaches/buckling should be sought. It is commonly called a broken wrist in spite of the fact that the distal radius is the location of the fracture, not the carpal bones of the wrist. In most instances, a plain wrist radiographic series will suffice for diagnosis and characterization. A Colles Fracture is a complete fracture of the radius bone of the forearm close to the wrist resulting in an upward (posterior) displacement of the radius and obvious deformity. Falls are the main cause of distal radius. equivalent to a reverse Barton fracture Depending on the angle of the break, distal radius fractures can be classified into two types: Colles or Smith.extra-articular transverse fracture through the distal radius.The fracture can be split into three types, although in practice a description suffices 1,2: Smith fractures usually occur in one of two ways: Smith fractures account for less than 3% of all fractures of the radius and ulna and have a bimodal distribution: young males (most common) and elderly females 1.
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