[…] the patient presents with a deformity in the wrist. [boneandspine.com]

An associated ulnar styloid fracture is present in up to 50% of cases. [radiopaedia.org]

Present Present Absent V Intra-articular Absent Absent Present VI Intra-articular Present Absent Present VII Intra-articular Absent Present Present VIII Intra-articular Present Present Present The AO and Frykman classifications are useful in discussing [emedicine.com]

Characteristics/Clinical Presentation The clinical presentation of Colles fracture is commonly described as a dinner fork deformity. [physio-pedia.com]

• Falling

  Mechanism of Colles Fracture Colles fracture occurs when a person falls on outstretched hand with the forearm in pronation and wrist in dorsiflexion [The position one attempts to break forward fall. [boneandspine.com]

  The natural response to a fall is to stretch out a hand to break the fall, and falls tend to occur more often in beginners. [physioroom.com]

  Review Topic QID: 669 3 Extensor Indicis Proprius ML 3 Select Answer to see Preferred Response PREFERRED RESPONSE 5 (OBQ06.136) A 25-year-old female falls from her horse and injures her left wrist. [orthobullets.com]

• Weakness

  Clinical findings specific to an acute carpal tunnel syndrome are weakness or loss of thumb or index finger flexion. [orthopaedicsone.com]

  To discuss the management of a patient with wrist weakness and a diminution in active range of motion resulting from Colles' fracture. A 58-year-old woman complained of persistent loss of grip strength and mobility in her right wrist. [ncbi.nlm.nih.gov]

  There is also marked weakness of the wrist muscles in all directions, and patients will have trouble opening doors or jars, or lifting coffee cups. Often the hand itself is also stiff and weak with grip strength is also greatly diminished. [movewell.com.au]

  Weak grip strength may occur and after a long period of time the muscles at the base of the thumb may waste away. In more than half of cases both sides are affected. [dbpedia.org]

• Collapse

  Results: At the final follow-up at six months, the collapse in the mean dorsal angle was 0.94 and mean ulnar variance was 0.51. [cureus.com]

  The radiological results showed that all fractures after percutaneous pinning followed the same time series changes and patterns of fracture collapse regardless of the presence of a DCC defect. [ncbi.nlm.nih.gov]

  Without its blood supply, the following may occur: The bone may not heal and may then deteriorate and collapse. Tissue may die (called osteonecrosis), resulting in osteoarthritis and disability. [msdmanuals.com]

• Vomiting

  In that case, anesthesia will need to be administered and you might experience nausea that would cause you to vomit during or right after the reduction. 2 Assess the symptoms you have. [wikihow.com]

• Osteoporosis

  Osteoporosis can be primary or secondary. Primary osteoporosis is the most common form, and is associated with aging (senile osteoporosis) and the postmenopausal state in women due to the decrease in estrogen levels following menopause. [kenhub.com]

  The relationship between Colles fractures and osteoporosis is strong enough that when an older male patient presents with a Colles fracture, he should be investigated for osteoporosis because his risk of a hip fracture is also elevated 1. [radiopaedia.org]

  Skills Assess radiographs and describe the pattern of injury Recognize fractures associated with osteoporosis and initiate a workup for it. Be able to counsel a patient on lifestyle modifications that prevent osteoporosis. [orthopaedicsone.com]

  Asymptomatic post-menopausal osteoporosis is common but some-times associated with pain and deformity. Symptomatic osteoporosis is usually associated with fracture. [ncbi.nlm.nih.gov]

• Wrist Pain

  At follow-up, 40 patients had persistent ulnar wrist pain. The most important factor for predicting ulnar pain was final dorsal angulation of the radius. [ncbi.nlm.nih.gov]

  She complains of wrist pain and deformity. On physical exam she has no sensation of the volar thumb, index, and middle fingers. Radiographs are provided in Figure A. [orthobullets.com]

  Symptoms include a great deal of wrist pain, a "dinner fork" deformity, wrist swelling and an inability to use the wrist and hand. [physioroom.com]

• Contusion

  […] result in the numbness of the secondary area of the arm supplied by it distally. (2) numbness in digits in median ditributuion the fracture segment can easily impact on the median nerve or it can get secondary contusions result in the numbness of the [medicaljoyworks.com]

  A sensory finding in median nerve distribution is not specific to acute carpal tunnel syndrome as it may be caused by a median nerve contusion at the time of injury or reduction. [orthopaedicsone.com]

  Example: segmental “bumper” fracture of the tibia 2 Superficial abrasion or contusion caused by pressure from within. Mild to moderately severe fracture configuration. [slideshare.net]

• Confusion

  *Results are based on activity within last 7 days The Canberra Liberals have accused the ACT Government of sowing confusion over its plans for remote learning, saying parents should... [the-riotact.com]

  […] in elevated LV end diastolic pressures and, subsequently, left atrial pressures. [6] Right heart catheterization is occasionally important for differentiating cor pulmonale from occult left ventricular dysfunction, especially when the presentation is confusing [emedicine.medscape.com]

  One's mind is confused by all these scares and counter-scares. [oireachtas.ie]

• Waddling Gait

  A Trendelenburg limp is sometimes associated with unilateral coxa vara and a waddling gait is often seen when bilateral coxa vara is present. [physio-pedia.com]

Skills Assess radiographs and describe the pattern of injury Recognize fractures associated with osteoporosis and initiate a workup for it. Be able to counsel a patient on lifestyle modifications that prevent osteoporosis. [orthopaedicsone.com]

[…] with a Colles fracture, he should be investigated for osteoporosis because his risk of a hip fracture is also elevated. [10] An increasing awareness of osteoporosis has led to these injuries being termed fragility fractures, with the implication that a workup [physio-pedia.com]

An increasing awareness of osteoporosis has led to these injuries being termed fragility fractures, the implication being that a workup for osteoporosis should be a standard part of treatment. [emedicine.medscape.com]

[…] surgical treatment to patients who cannot or do not want to accept the constraints of cast treatment because of ADL, work, or recreational concerns. [emedicine.medscape.com]

A higher amount of instability criteria increases the likelihood of operative treatment. [en.wikipedia.org]

[…] a. ( ) Yes, in about 5% of surgical treatments b. ( ) I never use them c. ( ) Yes, in about 20% to 40% of surgical treatment d. ( ) Yes, in more than 50% of surgical treatments e. ( ) Yes, in all surgical treatments 8) Which is the most frequent complication [scielo.br]

CONCLUSIONS: Brazilian orthopedists have concordant opinions regarding conservative treatment methods and the use of bone grafts. There were conflicting opinions regarding surgical treatment methods, classification types and complications. [ncbi.nlm.nih.gov]

Four Fractures of the Wrist Rolando, Bennett, Barton, Colles Four Fractures of the Wrist Rolando Fracture Bennett Fracture Comminuted Intra-articular Fracture through base of thumb Prognosis: worse than Bennett's fracture (difficult to reduce) Intra-articular [learningradiology.com]

Colles' fracture Specialty Emergency medicine, orthopedics Symptoms Pain, swelling, deformity, bruising[2] Usual onset Sudden[2] Causes Fall on an outstretched hand[2] Risk factors Osteoporosis[2] Diagnostic method X-rays[2] Treatment Cast, surgery[3] Prognosis [en.wikipedia.org]

CONCLUSIONS: Bone loss during the course of treatment will have a direct effect upon the prognosis, so different treatment should be proposed for different patterns of fractures. Active exercise should be made to improve the recovery of bone mass. [ncbi.nlm.nih.gov]

[…] dorsal angulation the degree of impaction degree and direction of displacement location of the medial fracture line: does it involve the radioulnar joint presence of intra-articular fractures other fractures ulnar styloid carpal bones Treatment and prognosis [radiopaedia.org]

Compartment syndromes may be important as etiologic and complicating factors. Hyperbaric oxygen may have therapeutic value but its use has not improved on survival rates achieved during World War II with surgery and antibiotics alone. [ncbi.nlm.nih.gov]

Etiology bilateral neuromuscular disorders, e.g. cerebral palsy often have concurrent femoral anteversion skeletal dysplasias, e.g. [radiopaedia.org]

Lung Biopsy Lung biopsy may occasionally be indicated to determine the etiology of underlying lung disease. This is especially true if interstitial lung disease (ILD) is the suspected etiology for pulmonary hypertension resulting in cor pulmonale. [emedicine.medscape.com]

Bhimani For patient information, click here Distal radius fracture Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Distal radius fracture from other Diseases Epidemiology and [wikidoc.org]

Fracture of the distal radius: epidemiology and premanagement radiographic characterization. AJR Am J Roentgenol. 2014 Sep;203(3):551-9. [PubMed: 25148157] 4. MacIntyre NJ, Dewan N. [ncbi.nlm.nih.gov]

Epidemiology. Colles' fracture. Questionnaires. Prospective studies. [scielo.br]

[…] displacement, the number of bone fragments, whether or not the break is "intra-articular" (involves the wrist joint), as well as the person's age, gender, and medical history, and may range from two months to a year or more for complete recovery.[2] Epidemiology [en.wikipedia.org]

Pathophysiology Distal radius fractures are most commonly caused by a fall on an outstretched hand (FOOSH). Due to osteoporosis, the risk of these fractures increases with age (termed ‘fragility fractures’). [teachmesurgery.com]

Bhimani For patient information, click here Distal radius fracture Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Distal radius fracture from other Diseases Epidemiology and [wikidoc.org]

Pathophysiology The pathophysiology of cor pulmonale is a result of increased right-sided filling pressures from pulmonary hypertension that is associated with diseases of the lung.[5][6][7] Under normal physiologic conditions, the right ventricle pumps [ncbi.nlm.nih.gov]

Although cor pulmonale commonly has a chronic and slowly progressive course, acute onset or worsening cor pulmonale with life-threatening complications can occur. [1] Etiology and Pathophysiology of Cor Pulmonale The pathophysiology of cor pulmonale is [emedicine.medscape.com]

It permits minimally limited flexion of the wrist but prevents wrist dorsiflexion. It makes impossible any radial deviation. [ncbi.nlm.nih.gov]

[…] to prevent joint stiffness. (2) Fact Explanation intra-medullary K-wire fixation stabilize the distal radius and prevention of secondary displacement of distal radial fractures, k wires are inserted to intramedullary canal manually.(1) intra-medullary [medicaljoyworks.com]

Therefore, prevention of distal radius fractures in older people should focus on prevention of osteoporosis and risk factor reduction. [orthopaedicsone.com]