I am a Dek

Fractures of the distal radius (Colles’ fracture). Fraturas do rádio distal (Fratura de Colles). João Carlos Belloti; João Baptista Gomes dos. PDF | Although Colles’ fracture is a common clinical situation for the CONTEXTO E OBJETIVO: Embora as fraturas de Colles sejam uma. 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.

Author: Shaktilabar Arakinos
Country: Colombia
Language: English (Spanish)
Genre: Environment
Published (Last): 9 November 2016
Pages: 133
PDF File Size: 11.35 Mb
ePub File Size: 18.42 Mb
ISBN: 181-9-30492-845-3
Downloads: 16491
Price: Free* [*Free Regsitration Required]
Uploader: Akinorisar

The fracture appears extra-articular and usually proximal to the radioulnar joint.

Check for errors and try again. J Bone Joint Surg Br. This cast is known as a Colles cast 4. There were conflicting opinions, without consensus, regarding the following: In the systematic review: Therefore, the sample size calculation was not related to the total number of participants. Residual pain and impaired joint mobility were the most frequent complications in both treatment types Figures 8 and 9.

A randomized trial published in compared the reduction methods of manual manipulation and finger-trap traction, among patients with fractures. It was concluded that there was not enough evidence to decide which conservative treatment method was more appropriate for each type of fracture of the distal radius. Most of the interviewees only used bone grafts for osseous gaps in ccolles cases.

Barton’s fracture – Wikipedia

The plain radiographic series often comprises an AP and a lateral view; however, it is not uncommon for an oblique view to be included. O objetivo deste estudo foi verificar a colkes dos ortopedistas brasileiros quanto aos principais aspectos do tratamento das fraturas de Colles.

The Barton’s fracture is caused by a fall on an extended and pronated wrist increasing carpal compression force on the dorsal rim. Yes, in all surgical treatments 8 Which is the most frequent complication in xe conservative treatment no more than two options?


Barton’s fracture

The objective was to evaluate the main features of treating these fractures, and also the most frequent complications and the prognosis. Most fractures are therefore dorsally angulated and impacted. Surgical interventions for treating distal radial fractures in adults.

The aim of the present study was to investigate Brazilian orthopedists’ opinions regarding the main aspects of treatments for Colles’ fracture. A palmar Barton’s fracture of the right wrist, as shown on a 3D-rendered CT scan. Lisfranc Jones March Calcaneal. Trials using carefully designed methodology should be conducted in the future, in order to obtain high-quality evidence regarding classification systems, best methods for conservative and surgical treatment and criteria for defining instability patterns.

Although fractures of the distal extremity of the radius were first described by Colles intoday there is still no robust scientific evidence to allow a definitive treatment algorithm to be devised.

Fractures and cartilage injuries Sx2— In the systematic review “Surgical interventions for treating distal radial fractures in adults”, 1 with 44 randomized trials and patients, it was concluded that there was not enough evidence for most of the decisions needed for surgically treating fractures of the distal radius.

The prediction of instability. Five hundred questionnaires containing 12 items were randomly distributed to orthopedists who were attending the congress; were filled out correctly and were considered in this study. Conservative interventions for treating distal radial fractures in adults.

D ICD – Dear congress attendee, The purpose of this questionnaire is to investigate Brazilian orthopedists’ diagnostic and therapeutic methods, complications and results relating to clinical approaches to fractures of the distal radius.

Dorsal angulation of the distal fracture fragment is present to a variable degree as opposed to volar angulation of a Smith fracture.

Basilar skull fracture Blowout fracture Mandibular fracture Nasal fracture Le Fort fracture of skull Zygomaticomaxillary complex fracture Zygoma fracture.

Bumper fracture Segond fracture Cooles fracture Toddler’s fracture Pilon fracture Plafond fracture Tillaux fracture. The most frequent complications were impairment of joint mobility and residual pain. I never use them c. The cast extends from below the elbow to the metacarpal heads and holds the wrist somewhat flexed and in ulnar deviation 4 – for those of you familiar with Australian rules football; this position is reminiscent of the position adopted when holding cloles ball in preparation for a kick.


There is also usually impaction with fratjra shortening of the radius. Views and treatment of an important injury of the wrist. Stability assessment of distal radius fractures. Handoll HH, Madhok R. It was shown that there was no statistically significant difference between these two reduction methods. The participants filled out a questionnaire that had been drawn up previously, in which there were 12 objective multiple-choice questions that dealt with matters of relevance to treating Colles’ fracture.

Early and late displacement of fractures of distal radius. Case 6 Case 6. Unable to process the form. Only take into consideration fractures of the distal radius in patients over 40 years old, except for cases of fractures caused by avulsion and Barton’s fracture. Most Frayura fractures are secondary to a fall on an outstretched hand FOOSH with a pronated forearm in dorsiflexion collex position one adopts when trying to break a forward fall.

You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

There are also growing ethical and legal demands for cosmetic and functional results for patients. Case 5 Case 5. Medical Examiner, Philadelphia,1: Teaching Atlas of Musculoskeletal Imaging.

Green’s operative hand surgery. A total of questionnaires were filled out correctly and were included in this study.