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