![]() Repeat Xrays are recommended at one, two, and six weeks to verify proper healing. Treatment modalities differ in the elderly. There are several established instability criteria: Ī higher amount of instability criteria increases the likelihood of operative treatment. The volar forearm splint is best for temporary immobilization of forearm, wrist and hand fractures, including Colles fracture. ![]() Significant angulation and deformity may require an open reduction and internal fixation or external fixation. There is some evidence that immobilization with the wrist in dorsiflexion as opposed to palmarflexion results in less redisplacement and better functional status. A fracture with mild angulation and displacement may require closed reduction. The cast is applied with the distal fragment in palmar flexion and ulnar deviation. An undisplaced fracture may be treated with a cast alone. Management depends on the severity of the fracture. Ĭolles' fractures can be categorized according to several systems including Frykman, Gartland & Werley, Lidström, Nissen-Lie and the Older's classifications. The fracture is sometimes referred to as a " dinner fork" or " bayonet" deformity due to the shape of the resultant forearm. Colles himself described it as a fracture that “takes place at about an inch and a half (38mm) above the carpal extremity of the radius” and “the carpus and the base of metacarpus appears to be thrown backward”. However, the term now tends to be used loosely to describe any fracture of the distal radius, with or without involvement of the ulna, that has dorsal displacement of the fracture fragments. The term Colles fracture is classically used to describe a fracture at the distal end of the radius, at its cortico-cancellous junction.
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