Desault 1805, dupuytren 1847 y malgaine 1859 posteriormente, todavia consideraban toda deformidad traumatica. The colles fracture, the most common fracture of the wrist, was first described by abraham colles in 1814. A distal radius fracture almost always occurs about 1 inch from the end of the bone. Summary first described by kapandji, the double closed basketlikepinning is a new and quite attractive treatment of the colles fracture. One of the most common distal radius fractures is a colles fracture, in which the broken fragment of the radius tilts upward. Pouteau colles fractura a lui din dictionar termeni. Colles fracture fracture of the lower end of the radius, the distal fragment being displaced backward. The first type is when the bone goes through the skin, commonly known as an open or compound fracture. During the last five years, 19611965, the emergency service registered 57426 fractures, a.
The break can occur in many different ways, however. Although colles fracture is a common clinical situation for the orthopedist, we did not find any information in the literature that would allow safe decisionmaking on the best treatment for each fracture type. The colles fracture is probably the most common fracture seen in the emergency department. Learn more about this type of fracture and take a short quiz to test what you have learned. There is not only a colles fracture with an associated fracture at the base of the ulna styloid but also a scaphoid fracture. In this injury, there is a complete fracture of the distal radius typically the last two centimeters usually accompanied by damage to the ulnar collateral ligament or the ulnar styloid process. This surgeon from lyons wrote a paper published in his posthumous. Although there are several different methods of reduction and fixation, the goal of any treatment plan is to return the patient to normal function. Anatomy the distal radius is biconcave,triangular, and covered withhyaline cartilage. The colles fracture is named after abraham colles 17731843, an irish surgeon, from kilkenny who first described it in 1814 by simply looking at the classical deformity before the advent of xrays. It was first described by abraham colles in 1814 who reported a transverse fracture of the radius, within 1 inch of the wrist, and with dorsal. Get a printable copy pdf file of the complete article 763k, or click on a page image below to browse page by page.
It is a variant of the colles fracture and usually occurs during a fall onto an outstretched hand. Colles fractures are very common extraarticular fractures of the distal radius that occur as the result of a fall onto an outstretched hand. Symptoms signs of a colles fracture include pain and swelling just above the wrist and the inability to hold or lift heavy objects. Links to pubmed are also available for selected references. Full text full text is available as a scanned copy of the original print version. Distal radius fractures broken wrist orthoinfo aaos. Named by robert william smith 18071873 who was a surgeon in dublin, ireland. This fracture was first described in 1814 by an irish surgeon and anatomist, abraham colles hence the name colles fracture. Collespouteau, smithgoyrand and barton fractures and their importance in the trauma surgery patient sample. This surgeon from lyons wrote a paper published in his posthumous works in 1783.
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. Pouteau fracture symptoms, diagnosis, treatments and. Colles fracture colles fracture is a fracture of the distal radius and ulna the bones of the forarm, which occurs after a fall onto an outstretched hand. The socalled pouteaucolles fracture was never specifically described by pouteau.
Powdercoated aluminum splints are radiolucent, malleable, and have a comfortable foam interior. Started in 1995, this collection now contains 6767 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Ernest amory codman was the first to study it using xrays. Use image intensifier to check position of fracture. Traitement orthopedique il sadresse aux fractures non ou peu. It is most common in the older population but can also occur in young sports people.
Rotate wrist to check ap and lateral views of 1 fracture site. Colles fractures central coast orthopedic medical group. Although this type of injury can be caused by any strong force, colles is most often associated with trying to break a forward fall. It was named for the surgeon who first described it. First described by kapandji, the double closed basketlikepinning is a new and quite attractive treatment of the colles fracture.
Although this type of injury can be caused by any strong force, colles is most often associated with trying to break a forward. Files are available under licenses specified on their description page. Welcome to my presentation which is the part of teaching methodology 2. With or without xr tv, following closed reduction, the epiphysis is fixed steady with two kirschner wires, sliding along its lateral and its posterior aspects, entering the radius at the fracture site and transfixing the bone cortex above. All structured data from the file and property namespaces is available under the creative commons cc0 license. The history of the distal radius fracture is a fascinating one, as it intertwines historical precedent, the nobility of surgical tradition, and the inevitable conflict attendant to strong surgical personalities. More detailed information about the symptoms, causes, and treatments of pouteau fracture is available below. A colles fracture is a common fracture that happens more often in women than men. A fracture of the radius about 1 inch above the wrist with dorsal displacement of the distal fragment explanation of colles fractures. Fracture displacement in any direction greater than two thirds the width of the radial shaft. Fractures at the distal end of the radius are quite common. Distal radius fractures were first described by abraham colles in 1814. A true 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.
Download fulltext pdf les fractures du radius distal apres 70 ans. This page was last edited on 26 august 2019, at 18. Overview colles fracture is a break of one or both of the forearm bones called the radius and ulna that occurs just above the wrist. A fracture in the end of the radius closest to the wrist. Qua vraiment decrit pouteau dans les fractures du poignet. Colles fracture refers to a complete break in the distal radius wrist, often occurring as the result of a fall on an outstretched hand. Stable colles fractures can be followed up in a fracture clinic or equivalent approximately one week post injury. All about myself faysal ahammed bpt 5th batch4th year roll. Rehabilitation protocol for undisplaced colles fractures. The manifestations of a colles fracture together with potential complications are summarised in table 6. Fromthe departmentofsurgery, postgraduate medicalschool oflondon, hammersmithhospital though colles fracture is a commoninjury its complications and.
Colles fractures typically derive from falls onto an outstretched hand, resulting in posterior displacement of the distal part of the radial shaft. The angulation and force of the fall causes dorsal upwards displacement of the broken segment, often occurring approximate 23cm proximal to wrist, creating a visible deformity. This is a common fracture in elderly patients, consisting of a transverse fracture of the distal radial metaphysis proximal to the joint with dorsal displacement of the distal fragment and volar dislocation. Colles fracture operative treatment, indications and resultsa. Although his description was based on clinical examination alone because radiography had not yet been invented, it is quite accurate, and it is colles name that is most often associated with this fracture in the englishspeaking world. The second type of fracture is a comminuted fracture, where the bone is broken in more than one area. The aim of the present study was to investigate brazilian orthopedists opinions regarding the main aspects of treatments for colles fracture. Le mecanisme lesionnel est lhyperextension du poignet associee a une compression. The degree of joint surface disruption and degree of comminution multiple fragments is best seen on the ct scan. Use finger trap traction on index and middle fingers with arm in lateral position. Rehabilitation protocol for undisplaced colles fractures following cast removal. Colles fractures synonyms, colles fractures pronunciation, colles fractures translation, english dictionary definition of colles fractures. He succeeded abraham colles colles fracture as professor of surgery at trinity college, dublin. Transverse extraarticular distal radius fracture with dorsal angulation consistent with a colles fracture.
Brochage mixte transstyloidien et intrafocal dans les. Colles fractures definition of colles fractures by. The final two types of colles fractures are intraarticular fractures and extraarticular fractures. Colles fractures overview colles fracture is a break of one. Colles fractures definition of colles fractures by the. Colles fractures article about colles fractures by the. They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface. It is commonly called a broken wrist in spite of the fact that the distal radius is the. This is a very common injury which affects the distal end of the radius. A colles fracture is a type of broken bone near the wrist. Colles fracture is a relatively uncommon presentation to a chiropractic office.
Depending on the complexity, the colles fracture can be successfully treated open or closed. A colles fracture is a break in the radius close to the wrist. Aluminum colles splint gives radialulnar support in the treatment of colles fractures, stabilizes wrist in slight flexionpronation with ulnar deviation for reduction. The fracture the combined pressure of hitting the ground and supporting a sudden load of body weight can cause the bones of the forearm to break just above the wrist. The irish surgeon abraham colles described drfs in the 1814 volume of the edinburgh medical surgical journal.