How do you immobilize a Colles fracture?
Historically, closed reduction and cast immobilization has been the mainstay of treatment in Colles fracture1 and still continues to do so in selected cases. Although above elbow cast is preferred, a forearm cast is sufficient.
How do you immobilize a broken radius?
Immediate care for a potential fracture should include the following measures:
- Immobilize the wrist with a splint or brace.
- Elevate the wrist above the level of the heart.
- Use ice therapy for 5 to 10 minutes every hour, which can ease swelling and dull pain signals.
How do you immobilize a closed wrist fracture?
With external fixation, a metal frame outside your body immobilizes the fracture with two or more pins that pass through your skin and into the bone on either side of the fracture. You might need surgery to implant pins, plates, rods or screws to hold your bones in place while they heal.
When treating a Colles fracture the forearm should be placed in a position of?
He recommended the arm should be immobilized in a cast that extends from the base of the fingers to above the elbow, while holding this joint at ninety degrees of flexion the forearm in pronation and the wrist in slight flexion and ulnar deviation.
What is a common surgical approach for Colles fracture?
Surgical options can include external fixation, internal fixation, percutaneous pinning, and bone substitutes. A fracture with mild angulation and displacement may require closed reduction. Significant angulation and deformity may require an open reduction and internal fixation or external fixation.
What is the distal pole of the scaphoid?
Distal pole: The end of your scaphoid closest to your hand and fingers (pointing away from your forearm). Waist of the scaphoid: The middle part of your scaphoid. More than 70% of scaphoid fractures occur in the waist. Proximal pole: The end of your scaphoid closest to your forearm (pointing in toward your body).
How does Colles fracture occur?
Colles’ fracture causes Colles’ fractures most often occur with a fall onto an outstretched hand. The fall sends force through the bones and displaces the distal radius toward the back of the hand or forearm. Doctors can treat most Colles’ fractures with casting or splinting.
Is a Colles fracture intra articular or extra articular?
Colles fractures are very common extra-articular fractures of the distal radius that occur as the result of a fall onto an outstretched hand. They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface.
How do you examine a Colles fracture?
Colles’ fracture diagnosis Your doctor may be able to tell that you’ve fractured your wrist based on a physical exam. With these types of fractures, the wrist may bend in an awkward way or look abnormal. Often, your doctor will order an x-ray to confirm the condition, location, and severity of the break.
How do you treat Colles fracture?
How are Colles fractures treated? After diagnosis, your healthcare provider should realign and immobilize your broken bones. They’ll move (reset) the broken bones back into their natural positions and use a cast, brace or splint to hold them in place.
Is Colles fracture intra articular?
A Colles fracture occurs when the broken end of the radius tilts upward. Other ways the distal radius can break include: Intra-articular fracture — An intra-articular fracture is one that extends into the wrist joint.