Smith's fracture: Difference between revisions
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*Occurs due to fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist | *Occurs due to fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist | ||
== | ==Clinical Features== | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Distal radius fracture DDX}} | {{Distal radius fracture DDX}} | ||
==Evaluation== | |||
*X-ray forearm/wrist | |||
==Management== | ==Management== | ||
*Similar to [[Colles' fracture]] | *[[Sugar tong splint]] in supination<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref> | ||
* | **Similar to [[Colles' fracture]] | ||
==Disposition== | |||
*Outpatient | |||
==See Also== | ==See Also== | ||
Revision as of 10:52, 16 October 2016
Background
- Volar angulated fracture ("reverse Colles fracture" or "garden-spade deformity")
- Occurs due to fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist
Clinical Features
Differential Diagnosis
Distal radius fractures
- Colles' fracture
- Smith's fracture
- Barton's fracture
- Radial styloid fracture
- Distal radioulnar joint disruption
Distal radius fracture eponyms
| Eponyms | Description |
| Barton's | Fracture-dislocation of radiocarpal joint (with intra-articular fracture involving the volar or dorsal lip) |
| Chauffer's | Fracture of radial styloid |
| Colles' | Dorsally displaced, extra-articular fracture |
| Die-punch | Depressed fracture of the lunate fossa (articular surface) |
| Smith's | Volar displaced, extra-articular fracture |
Evaluation
- X-ray forearm/wrist
Management
- Sugar tong splint in supination[1]
- Similar to Colles' fracture
Disposition
- Outpatient
See Also
References
- ↑ German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.
- German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.