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Distal Radial Fractures

Colles' Fracture

Background

  • Fracture of the distal radius occurring within 2.5 cm of the wrist joint with the distal fragment being dorsally tilted, often radially displaced and impacted.
  • Characteristic dinner fork deformity present, if fracture displaced
  • Opposite to Smith’s fracture
  • Most common fracture presenting to A/E
  • More common in the elderly – associated with osteoporosis 

Classification

Frykman's classification (1967)

  • Based on distinction between extra-articular and intra-articular fractures of the distal radius and on the presence of a concomitant fracture of the distal ulna.
  • Groups 1 & 2 - Extra-articular fracture ± distal ulnar fracture
  • Groups 3 & 4 - Intra-articular fracture involving the radiocarpal joint ± distal ulnar fracture
  • Groups 5 & 6 - Intra-articular fracture involving the distal radio-ulnar joint ± distal ulnar fracture
  • Groups 7 & 8 - Intra-articular fracture involving the radiocarpal and distal radio-ulnar joint ± distal ulnar fracture


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Distal Radial Fractures
Metacarpal Fractures
Scaphoid Fractures
Tendon Injuries
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