"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 fork deformity may be described.There is also usually impaction with resultant shortening of the radius. An associated ulnar styloid fracture is present in up to 50% of cases."
"Most Colles fractures are secondary to a fall on an outstretched hand (FOOSH) with a pronated forearm in wrist extension (the position one adopts when trying to break a forward fall)."
"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 2,3. 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."
"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 fork deformity may be described.There is also usually impaction with resultant shortening of the radius. An associated ulnar styloid fracture is present in up to 50% of cases."
"Amsterdam wrist rules"
Expected headings
"Report checklist"
"Complications"
"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 fork deformity may be described.There is also usually impaction with resultant shortening of the radius. An associated ulnar styloid fracture is present in up to 50% of cases."
"The vast majority of Colles fractures can be treated with closed reduction and cast immobilisation. 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."
"Open reduction and internal fixation (ORIF) is considered when the fracture is unstable, and/or unsatisfactory closed reduction is achieved (i.e. >10 degrees dorsal angulation; >5 mm shortening; significant comminution) 1."
"Open reduction and internal fixation (ORIF) is considered when the fracture is unstable, and/or unsatisfactory closed reduction is achieved (i.e. >10 degrees dorsal angulation; >5 mm shortening; significant comminution) 1."