Colles' fracture - Revision history

Rossdonaldson1: /* Management */

2019-09-18T04:26:52Z

Management

← Older revision		Revision as of 04:26, 18 September 2019
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	==Management==		==Management==
			{{General Fracture Management}}

			===Specific Management===
	*Unstable Fracture - Immediate ortho referral		*Unstable Fracture - Immediate ortho referral
	**>20 degrees angulation		**>20 degrees angulation
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	**Immobilize wrist with [[sugar tong splint]] at 15 degrees of flexion, 20 degrees of ulnar deviation, and slight pronation <ref name="Procedures for orthopedic emergencies">Davenport M. Procedures for orthopedic emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>		**Immobilize wrist with [[sugar tong splint]] at 15 degrees of flexion, 20 degrees of ulnar deviation, and slight pronation <ref name="Procedures for orthopedic emergencies">Davenport M. Procedures for orthopedic emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	**Goals for post-reduction X rays: normal radius length, normal radial inclination of 15-30 degrees and volar tilt of 10-15 degrees		**Goals for post-reduction X rays: normal radius length, normal radial inclination of 15-30 degrees and volar tilt of 10-15 degrees


	==Disposition==		==Disposition==

2017-07-15T19:50:59Z

Text replacement - "* " to "*"

← Older revision		Revision as of 19:50, 15 July 2017
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	**5mm shortening of the radius		**5mm shortening of the radius
	*Stable Fracture		*Stable Fracture
	** Use [[Procedural sedation]] or [[Hematoma block]]		**Use [[Procedural sedation]] or [[Hematoma block]]
	**Hang 10 lb weight with finger traps or otherwise provide longitudinal traction		**Hang 10 lb weight with finger traps or otherwise provide longitudinal traction
	**Recreate the injury by extending wrist to 90 degrees while elbow is flexed		**Recreate the injury by extending wrist to 90 degrees while elbow is flexed

2017-04-14T17:52:08Z

colles reduction technique

← Older revision		Revision as of 17:52, 14 April 2017
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	**>2/3 displacement		**>2/3 displacement
	**5mm shortening of the radius		**5mm shortening of the radius
	*Stable Fracture ~~- Compression dressing~~ and [[sugar tong splint]]		*Stable Fracture
			** Use [[Procedural sedation]] or [[Hematoma block]]
			**Hang 10 lb weight with finger traps or otherwise provide longitudinal traction
			**Recreate the injury by extending wrist to 90 degrees while elbow is flexed
			**Pull distal segment back, up, and then out; use both thumbs to apply volar pressure
			**Immobilize wrist with [[sugar tong splint]] at 15 degrees of flexion, 20 degrees of ulnar deviation, and slight pronation <ref name="Procedures for orthopedic emergencies">Davenport M. Procedures for orthopedic emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
			**Goals for post-reduction X rays: normal radius length, normal radial inclination of 15-30 degrees and volar tilt of 10-15 degrees


	==Disposition==		==Disposition==
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	==See Also==		==See Also==
	*[[Distal radius fractures]]		*[[Distal radius fractures]]
	*[[Hematoma block]]

	==References==		==References==

2017-04-10T05:44:55Z

← Older revision		Revision as of 05:44, 10 April 2017
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	**5mm shortening of the radius		**5mm shortening of the radius
	*Stable Fracture - Compression dressing and [[sugar tong splint]]		*Stable Fracture - Compression dressing and [[sugar tong splint]]

			==Disposition==
			*Outpatient with ortho follow up

	==See Also==		==See Also==

2016-09-10T23:11:38Z

2016-07-22T15:31:18Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 15:31, 22 July 2016
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	{{Distal radius fracture DDX}}		{{Distal radius fracture DDX}}

	==~~Diagnosis~~==		==Evaluation==
	[[File:Colles fracture.JPG\|thumb\|Colles fracture]]		[[File:Colles fracture.JPG\|thumb\|Colles fracture]]
	[[File:Collesfracture.jpg\|thumb\|[[Colles' fracture]]]]		[[File:Collesfracture.jpg\|thumb\|[[Colles' fracture]]]]

2016-07-08T04:00:51Z

Text replacement - "fx" to "fracture"

← Older revision		Revision as of 04:00, 8 July 2016
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	==Background==		==Background==
	*Distal radial metaphysis fracture that is dorsally displaced and angulated		*Distal radial metaphysis fracture that is dorsally displaced and angulated
	**Fracture line may extend into radioulnar or radiocarpal joint ("die-punch" fx)		**Fracture line may extend into radioulnar or radiocarpal joint ("die-punch" fracture)
	*Occurs due to FOOSH		*Occurs due to FOOSH
	*Ulnar styloid fracture is often present and suggests injury to TFCC		*Ulnar styloid fracture is often present and suggests injury to TFCC

2016-07-03T04:08:01Z

Text replacement - "fx " to "fracture "

← Older revision		Revision as of 04:08, 3 July 2016
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	==Background==		==Background==
	*Distal radial metaphysis fx that is dorsally displaced and angulated		*Distal radial metaphysis fracture that is dorsally displaced and angulated
	**Fracture line may extend into radioulnar or radiocarpal joint ("die-punch" fx)		**Fracture line may extend into radioulnar or radiocarpal joint ("die-punch" fx)
	*Occurs due to FOOSH		*Occurs due to FOOSH
	*Ulnar styloid fx is often present and suggests injury to TFCC		*Ulnar styloid fracture is often present and suggests injury to TFCC

	==Clinical Features==		==Clinical Features==
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	===Imaging===		===Imaging===
	*PA		*PA
	**Distal metaphyseal fx that often appears shortened from angulation or comminution		**Distal metaphyseal fracture that often appears shortened from angulation or comminution
	*Lateral		*Lateral
	**Provides best view of dorsal angulation and comminution		**Provides best view of dorsal angulation and comminution

2016-03-22T15:48:35Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

2015-11-06T15:54:58Z

format

← Older revision		Revision as of 15:54, 6 November 2015
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	*Characteristic dorsiflexion or "dinner-fork" deformity		*Characteristic dorsiflexion or "dinner-fork" deformity
	*Palmar paresthesias (pressure on median nerve)		*Palmar paresthesias (pressure on median nerve)

			==Differential Diagnosis==
			{{Distal radius fracture DDX}}

	==Diagnosis==		==Diagnosis==
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	*Lateral		*Lateral
	**Provides best view of dorsal angulation and comminution		**Provides best view of dorsal angulation and comminution

	~~==Differential Diagnosis==~~
	~~{{Distal radius fracture DDX}}~~

	==Management==		==Management==
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	*[[Distal radius fractures]]		*[[Distal radius fractures]]

	==~~Source~~==		==References==
	*Tintinalli		<references/>

	[[Category:Ortho]]		[[Category:Ortho]]