FRAKTUR COLLES – Download as Powerpoint Presentation .ppt), PDF File .pdf ), Text File .txt) or view presentation slides online. fr. colles. The Irish surgeon Abraham Colles described DRFs in the volume of the Edinburgh Medical Surgical Journal. Although his description. lokasi fraktur yang paling umum adalah di tangan dan melibatkan bagian distal dari tulang radius, bernama Fraktur Colles. Fraktur Colles adalah fraktur pada.
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The rates of malunion were In reference 6 a link is provided to fraktjr the illustrations of the Muller AO Classification of Fractures. Beltran, Javier Professor of radiologySixth ed. The fracture appears extra-articular and usually proximal to the radioulnar joint. They usually require operative treatment.
There is some evidence that immobilization with the wrist in dorsiflexion as opposed to palmarflexion results in less redisplacement and better functional status. On the left a patient with an extraarticular distal radius fracture. On the left a typical die-punch fracture. Most often the greenstick fracture must be bent back into the proper position. Notice the loss of radiocarpal joint space indicating osteoarthritis.
Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures.
Many authors suggest that distal radial fractures be reduced anatomically, but the real question is ‘what is acceptable and what is not? When a fracture is oblique or when it is comminuted with crossing of the mid axial line, it can be unstable. Larsson S, Bauer TW.
Wrist – Fractures
The deformity is then reduced with appropriate closed reduction, depending on the type of deformity. Radial length or height Radial length is measured on the PA radiograph as the distance between one line perpendicular to the long axis of the radius passing through the distal tip of the radial styloid. One of the more popular is the Frykman classification systemalthough it fails to distinguish between Smith and Colles fractures as it is based on AP radiographs These fractures were considered a contraindication to percutaneous pin fixation.
This trend toward increased operative intervention is supported by studies examining functional outcomes in the elderly following surgery. Treatment modalities differ in the elderly. Extraarticular fractures are usually less complicated, unless they are comminutive. In a study involving women aged over 50 years, who suffered distal radius fractures from low-energy trauma, measures of fracture displacement were compared with bone mineral density.
Colles fraktur – Wikipedia
External fixation External fixation of fractures of the distal radius has been in use since the s. Most Colles fractures are secondary to a fall on an outstretched hand FOOSH with a pronated forearm in dorsiflexion the position one adopts when trying to break a forward fall. Thank you for updating your details.
The treatment decision of a distal radius fracture is complex and depends on the type of the fracture, the age and activeness of the patient and the quality of the bone. Published online Nov The plain radiographic series often comprises an AP and a lateral view; however, it is not uncommon for an oblique view to be included.
D ICD – Colles’ fracture Colles fractures. One of the most important characteristics is whether a fracture is extraarticular or intraarticular. A true lateral view is defined by the relationship between the pisiforme, capitate and scaphoid bones.
Stabilization and treatment of Colles’ fractures in elderly patients
In an active, healthy patient with an unstable fracture, an attempt at anatomic reduction and fixation through surgical means is more likely to render good functional results. Colles fracture is a common fracture in people with osteoporosissecond only to vertebral fractures.
A comparative study of clinical and radiologic outcomes of unstable Colles type distal radius fractures in patients older than 70 years: Log in Sign up. On the lateral radiograph at presentation there is an extreme dorsal tilt. It is the result of a transverse load through the lunate. Cochrane Database Syst Rev. On the left a post-operative image of a Salter-Harris II fracture, which is held in place with two pins after closed reduction.
Distal radius fractures in older patients: Eighteen patients aged over 60 years in another retrospective series were treated with open reduction and internal fixation. It typically occurs as a result of a fall on an outstretched hand. This led the authors to conclude there was little benefit to closed reduction in the very old and frail, dependent or demented patient.
Comminuted intraarticular fracture of the distal radius Volar rim maintains relationship with the carpus and both are displaced proximally blue arrow Fracture of radial styloid process with loss of radial inclination yellow arrow.
Extension into the radiocarpal joint and the distal radioulnar joint Displacement of the articular fragments blue arrow Radial shortening and loss of radial inclination resulting in distal ulna abutting the lunate yellow arrow Fracture of ulnar styloid Just frxktur this fracture a Colles’ fracture would be insufficient.