Colles fracture

Definition

When fracture occurs through the radius 2.5 cm

proximal to inferior radio-ulnar joint called Colles
fracture.
Common in elderly female.
 Mechanism

Fall on out stretched

hand.
 Deformity

Dinner fork deformity

In relation to distal
segment
Displaced dorsally
Driven proximally
Angulation dorsally &
laterally
Supination
 Clinical Feature

Pain
Swelling
Restricted movement
Crepitation
Dinner fork deformity
 Investigation

X-ray of wrist joint AP and

lateral view
Colles vs Smith Fracture
Treatment
Supra-condylar Fracture
 Age : 1 year 6 months to 12 years
Mechanism: Fall on out-stretched hand
Clinical feature
 Investigation

X-ray elbow joint

includnig upper end of
radius and ulna and lower
end of humerus (AP and
lateral view)
 Treatment

Without displacement:
long arm posterior cast
immobilization.
With displacement:
Close reduction under G/A
followed by immbilization
 Treatment(Cont)

If edema present :Dunlop

traction Unstable fracture: ORIF
 Complications

Immidiate : Compression in brachial artery

Tear in brachial artery
Injury to median nerve
Volkmans ischaemia
Infection
Shock
Thrombosis
 Late complications

Volkmans ischaemic
contracture Tardy ulnar nerve palsy
Tardy ulnar nerve palsy
 Late complication(cont)

Malunion
Non union
Osteoarthritis
Myositis ossificans
Fracture neck of femur
Types
Clinical feature
Investigation
Treatment
Treatment(cont)
Treatment(cont)