Download MBBS Colles Fracture Lecture PPT

Download MBBS (Bachelor of Medicine and Bachelor of Surgery) Colles Fracture PowerPoint PPT presentation


COLLES' FRACTURE







FIRST DESCRIBED BY
ABRAHAM COLLES IN 1814







DEFINITION
FRACTURE AT THE DISTAL END OF RADIUS
AT ITS CORTICO-CANCELLOUS JUNCTION
ABOUT 2 CM FROM THE DISTAL ARTICULAR
SURFACE OCCURING IN OSTEOPOROTIC BONE.


MECHANISM OF INJURY









FALL ON AN OUTSTRETCHED HAND WITH
DORSIFLEXION RANGING FROM 400 TO 900


PATHOANATOMY















DISPLACEMENTS
t IMPACTION OF FRAGMENTS
t DORSAL DISPLACEMENT
t DORSAL TILT
t LATERAL DISPLACEMENT
t LATERAL TILT
t SUPINATION












INJURIES
FRACTURE OF STYLOID PROCESS OF ULNA
RUPTURE OF ULNAR COLLATERAL LIGAMENT
RUPTURE OF TRIANGULAR CARTILAGE OF ULNA
RUPTURE OF INTEROSSEOUS RADIOULNAR
LIGAMENT PRODUCING RADIOULNAR
DISLOCATION









SYMPTOMS
? PAIN
? SWELLING
? DEFORMITY











SIGNS
? TENDERNESS
? IRREGULARITY OF LOWER END OF RADIUS
? DINNER FORK DEFORMITY
? ULNAR & RADIAL STYLOID AT THE SAME LEVEL




DINNER FORK DEFORMITY



DINNER FORK DEFORMITY






RADIOLOGICAL FEATURES
LATERAL VIEW:- DORSAL TILT
AP VIEW:- LATERAL TILT


LATERAL VIEW


AP
VIEW


TREATMENT


















? UNDISPLACED
- IMMOBILISATION IN BELOW ELBOW
PLASTER CAST FOR 6 WEEKS
? DISPLACED
- MANIPULATIVE REDUCTION &
IMMOBILISATION IN COLLES CAST
? COMMUNITED FRACTURE
- SHORT EXTERNAL FIXATOR
OR
JESS FIXATOR


COLLES CAST


COMPLICATIONS














A. MALUNION
B. STIFFNESS OF JOINTS
C. SUBLUXATION OF INFERIOR RADIOULNAR
JOINT
D. CARPAL TUNNEL SYNDROME
E. SUDECK'S OSTEODYSTROPHY
F. RUPTURE OF EXTENSOR POLLICIS TENDON

THANK YOU

This post was last modified on 12 August 2021