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Colles fracture

Definition

When fracture occurs through the radius 2.5 cm


proximal to inferior radio-ulnar joint called Colles
fracture.
Common in elderly female.
Mechanism

Fall on out stretched


hand.
Deformity

Dinner fork deformity


In relation to distal
segment
Displaced dorsally
Driven proximally
Angulation dorsally &
laterally
Supination
Clinical Feature

Pain
Swelling
Restricted movement
Crepitation
Dinner fork deformity
Investigation

X-ray of wrist joint AP and


lateral view
Colles vs Smith Fracture
Treatment
Supra-condylar Fracture
Age : 1 year 6 months to 12 years
Mechanism: Fall on out-stretched hand
Clinical feature
Investigation

X-ray elbow joint


includnig upper end of
radius and ulna and lower
end of humerus (AP and
lateral view)
Treatment

Without displacement:
long arm posterior cast
immobilization.
With displacement:
Close reduction under G/A
followed by immbilization
Treatment(Cont)

If edema present :Dunlop


traction Unstable fracture: ORIF
Complications

Immidiate : Compression in brachial artery


Tear in brachial artery
Injury to median nerve
Volkmans ischaemia
Infection
Shock
Thrombosis
Late complications

Volkmans ischaemic
contracture Tardy ulnar nerve palsy
Tardy ulnar nerve palsy
Late complication(cont)

Malunion
Non union
Osteoarthritis
Myositis ossificans
Fracture neck of femur
Types
Clinical feature
Investigation
Treatment
Treatment(cont)
Treatment(cont)