Presentation
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]
[…] the patient presents with a deformity in the wrist. [boneandspine.com]
We conclude that those individuals presenting with Colles' fracture may also have hearing loss and conversely, patients presenting with a conductive hearing loss may be at risk of developing the further symptoms of osteoporosis. [ncbi.nlm.nih.gov]
An associated ulnar styloid fracture is present in up to 50% of cases. [radiopaedia.org]
Entire Body System
- 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]
For pain, you can take over-the-counter ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or acetaminophen (Tylenol). You can buy these pain medicines without a prescription. [medlineplus.gov]
Sudden pain may also appear at wrist. Pain and difficulty could be experienced during movements of the wrist. The break may also get extended in the joint of the wrist. [epainassist.com]
- Falling
Abstract Distal forearm fracture is one of the most frequently observed osteoporotic fractures, which may occur as a result of low energy falls such as falls from a standing height and may be linked to the osteoporotic nature of the bone, especially in [ncbi.nlm.nih.gov]
Think about what happens when you know you are about to fall. Your first thought is to catch yourself, or break the fall. Your hands reflexively go out, resulting in a potentially hard landing that jolts the wrist. [study.com]
Causes of distal radius fractures include: A fall on an outstretched hand A direct blow to the wrist Risk Factors that can increase your risk of breaking your radius bone include: Severe trauma: Car accidents Fall from a height Violence Falling off a [uvahealth.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]
- Weakness
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]
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]
Post-Cast or Post-Splint Treamtment When the hard cast or soft splint comes off your wrist will usually feel weak. It may even be sore. [healdove.com]
- Disability
Abstract The aims of the study were to 1) investigate the test-retest reliability, the internal consistency in instruments that measure behavioural factors and disability as well as to investigate convergent validity between the Disabilities of the Arm [ncbi.nlm.nih.gov]
It is a major cause of disability with only one in five affected patients able to fully resume prior activities. The earlier a diagnosis is made and treatment is commenced the better the prognosis. Aetiology: The aetiology is uncertain. [slideshare.net]
- Severe Pain
Deformity, severe pain and swelling would indicate this type of fracture, which is most often caused by a fall. Medical help is needed immediately to repair this wrist injury. Symptoms Symptoms include instant pain in the wrist with rapid swelling. [sportsinjuryclinic.net]
Bruising Swelling Tenderness Severe pain with movement Trouble moving your wrist or arm Wrist appears out of line Diagnosis & Treatment Your doctor will ask about your symptoms and medical history and perform a physical exam. [uvahealth.com]
Reflex Sympathetic Dystrophy It is also known as complex regional pain syndrome and is characterized by severe pain, swelling and changes in the skin in the involved region. Nerve involvement may or may not be present. [boneandspine.com]
[…] a broken wrist, you need to seek medical attention right away : Severe pain Numbness Discolored fingers Colles’ fracture diagnosis Your doctor may be able to tell that you've fractured your wrist based on a physical exam. [upmc.com]
Respiratoric
- Dyspnea
Dyspnea on exertion is the most common symptom. Primarily, treatment aims to treat the underlying condition. [ncbi.nlm.nih.gov]
Symptoms and Signs Initially, cor pulmonale is asymptomatic, although patients usually have significant symptoms (eg, dyspnea, exertional fatigue) due to the underlying lung disorder. [msdmanuals.com]
Symptoms Patients may report a combination of fatigue, tachypnea, exertional dyspnea, and cough. [emedicine.medscape.com]
Musculoskeletal
- Fracture
[…] changes in fracture properties and bone geometry) on the Colles' fracture load. [ncbi.nlm.nih.gov]
This review looks at the current literature on distal radius fractures in the elderly and the treatment options for stabilization of these fractures. [dx.doi.org]
Workup
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]
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]
An increasing awareness of osteoporosis has led to these injuries being termed fragility fractures, with the implication that a workup for osteoporosis should be a standard part of treatment. [physio-pedia.com]
Treatment
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]
[…] 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]
Minimally displaced Colles' fractures: a prospective RT of treatment with a wrist splint or a plaster cast. - Aberdeen Colles' fracture brace as a treatment for Colles' fracture. [web.archive.org]
Treatment really depends on the type of break. [eatonhand.com]
Prognosis
Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Distal radius fracture from other Diseases Epidemiology and Demographics Risk Factors Screening Natural History, Complications and Prognosis [wikidoc.org]
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]
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]
Treatment and prognosis Cor pulmonale generally carries a poor prognosis. Long-term oxygen therapy is often considered the main treatment option. [radiopaedia.org]
Etiology
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]
(open lower end unspecified) 813.41(closed Colles Fx), 813.51(open Colles Fx 813.42(closed other fractures of distal end of radius alone) (813.52(open other radius alone) 813.44 (closed radius with ulna fracture; lower end) Colles' Fracture fracture Etiology [eorif.com]
Epidemiology
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]
It seems clear from the literature review that an epidemiological and physiopathological relationship exist among these entities. [elsevier.es]
Pathophysiology
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 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]
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]
Prevention
In order to prevent the occurrence of radius fractures and their adverse outcomes, understanding the effect of both extrinsic and intrinsic contributors to fracture risk is essential. [ncbi.nlm.nih.gov]
Secondary Prevention Cost-Effectiveness of Therapy Future or Investigational Therapies Case Studies Case #1 Distal radius fracture On the Web Most recent articles Most cited articles Review articles CME Programs Powerpoint slides Images American Roentgen [wikidoc.org]
[…] 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]