The radius is commonly fractured at the wrist. Because of the close connections with the ulna, breaks often happen together - at the wrist, the radius is the bone that is important, and is used to categorise the break.
Colles Fracture
Analgesia, POP, elevation
Discharge undisplaced
Complications: stiffness, malunion, reflex sympathetic dystrophy (Sudeck's atrophy) - refer for physiotheraphy, carpal tunnel syndrome, extensor pollicis longus rupture
Smith's Fracture
Unstable distal radius fracture (or reverse Colles' fracture)
The distal fragment is impacted, tilted anteriorly.
From a fall onto a flexed wrist.
Analgesia, POP, orthopaedics
The distal fragment is impacted, tilted anteriorly.
From a fall onto a flexed wrist.
Analgesia, POP, orthopaedics
Barton's Fracture
Intra-articular fracture involving the volar portion of the distal radius. The resultant fragment slips anteriorly, so the fracture is unstable.
POP and refer
POP and refer
http://radiopaedia.org/articles/colles-fracture
http://emergencymedicineireland.com/2012/05/anatomy-for-emergency-medicine-17-colles-fractures/
http://emrems.com/tag/colles/
http://emj.bmj.com/content/29/9/781.2.extract
http://radiopaedia.org/cases/distal-radial-fracture-colles-fracture-1
http://blog.ercast.org/2011/07/distal-radial-fractures/
http://radiopaedia.org/cases/colles-fracture-1
http://radiopaedia.org/cases/colles-fracture-6
http://www.ajemjournal.com/article/S0735-6757%2809%2900492-6/abstract
Smith's Fracture
http://www.enlightenme.org/learning-zone/when-colles%E2%80%99-not-colles%E2%80%99
http://radiopaedia.org/articles/smith-fracture
http://radiopaedia.org/cases/smith-fracture
Barton's Fracture
http://lifeinthefastlane.com/bone-and-joint-bamboozler-003/
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