2 Symptoms may include pain, swelling, deformity, and bruising. In fractures with dorsal displacement of fragments, it is more difficult to restore volar tilt from a volar approach.Ĭolles fracture Smith fracture distal radius fracture radius. 15 lifetime risk 3 A Colles' fracture is a type of fracture of the distal forearm in which the broken end of the radius is bent backwards. In fractures of the distal radius, the type of displacement has no significant effect on the final outcome of surgical plate fixation. The only significant difference in the radiographic parameters investigated was in volar tilt, which was normal in the group of patients with Smith fractures (11°), whereas in the group with Colles fractures it was 5°.ġ. Volar splinting of the upper extremity can be employed to immobilize hard and soft tissue injuries in addition to painful atraumatic conditions. It usually occurs due to a fall on a exed wrist, which presents with volar angulation of the distal fragment. A lateral view shows the fragment to be displaced and tilted anteriorly - the opposite of a Colles fracture. However, these differences were not statistically significant. Smiths fracture The features of a Smiths fracture often lead it to be thought of as a Reverse Colles on the basis of its presentation and mechanism of injury (Matsuura et al 2017). The mean quickDASH score was 18.2 points for Colles fractures and 20.5 points for Smith fractures.
The mean Mayo Wrist Score was 72.8 points for Colles fractures and 68.3 points for Smith fractures. Radiographic follow-up assessments included radial inclination, radial height, volar tilt and articular step-off. The results were evaluated using the quickDASH and Mayo Wrist Score. Smith Fracture: less common than a Colles Fracture, a Smith fracture break is in the opposite direction, with the broken fragment directed the other way. extension fracture).Ī group of 25 patients with Colles fractures and 25 patients with Smith fractures treated surgically in the years 2012-2013 was analysed retrospectively. It is also known as a reverse Colles fracture since the more common Colles fracture features a dorsal displacement of the distal fracture fragment. It was named by Irish surgeon Robert William Smith in 1847, who incidentally followed Abraham Colles as Professor of Surgery at Trinity College in Dublin 1.
The aim of the present study was to assess the effectiveness of surgical treatment of distal radial fractures following open reduction and fixation with an angle-stable plate in relation to the type of injury (flexion vs. A Smith fracture or a reverse Colles fracture is an extraarticular fracture of the distal radius with a volar displacement or angulation of the distal fragment (Figs.
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