FRAKTUR COLLES – Download as Powerpoint Presentation .ppt), PDF File .pdf ), Text File .txt) or view presentation slides online. fr. colles. The Irish surgeon Abraham Colles described DRFs in the volume of the Edinburgh Medical Surgical Journal. Although his description. lokasi fraktur yang paling umum adalah di tangan dan melibatkan bagian distal dari tulang radius, bernama Fraktur Colles. Fraktur Colles adalah fraktur pada.
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PA view should be taken with the wrist and elbow at shoulder height. National Center for Biotechnology OcllesU. External fixation in elderly patients again presents difficulties due to weak hold of the pins in osteoporotic bone. So look for signs of instability in all Colles’ fractures, especially:.
There is no disruption of carpal arc I. Surgical fixation allows almost immediate mobility.
In addition to the dorsal angulation seen on the lateral view, notice the following:. Footnotes Disclosure The author reports no conflict cklles interest in this work.
They usually require operative treatment.
Comminuted fractures of the distal end of the radius. Bone grafts and bone substitutes for treating distal radial fractures in adults. The Colles fracture is named after Abraham Colles —an Irish surgeonfrom Kilkenny who first described it in by simply looking at the classical deformity before the advent fraktkr X-rays.
Pain, swelling, deformity, bruising . Infobox medical condition new RTT. Conservative treatment in intra-articular fractures of the distal radius: A clinician should have a much higher threshold for intervention in an older patient with an unstable or displaced fracture than in a younger patient.
Colles fraktur – Wikipedia
Radial length or height Radial length is measured on the PA radiograph as the distance between one line perpendicular to the long axis of the radius passing through the distal tip of the radial styloid. When a fracture is oblique or when it is comminuted with crossing of the mid axial line, it can be unstable. The radiographic findings can be very subtle. Barton’s fracture Volar-type Barton’s is a fracture-dislocation of the volar rim of the radius.
These trials were not specific to an elderly population. Associated traumatic lesions are ligamentous rupture, nerve compression and compartment syndrome. Volar-type Barton’s is a fracture-dislocation of the volar rim of the radius. The extensor carpi ulnaris tendon groove should be at the level of fraktu radial to the base of the ulnar styloid.
Notice collse oblique course on the lateral view. J Am Acad Orthop Surg. One needs to consider medical comorbidities, operative risk, as well as functional demands.
In most cases a fracture of the radial styloid process is part of a comminutive intraarticular fracture. It usually occurs about three to five centimetres proximal to the radio-carpal joint with posterior and lateral displacement of the distal fragment resulting in the characteristic “dinner fork” or “bayonet” like deformity.
Unable ftaktur process the form. Not all studies, however, have failed to find a correlation between functional outcomes and radiographic outcomes.
Colles’ fracture – Wikipedia
First the arm is placed under traction to unlock the fragments. Two hundred sixteen patients with extra-articular distal frqktur fractures were prospectively followed for over 1 year. There can be associated injury to the scapholunate ligament. Smith’s fracture Smith’s fractures occur in younger patients and are the result of high energy trauma on the volar flexed wrist.
Recovery time depends on the degree of bone displacement, the number of bone fragments, whether or not the break is “intra-articular” involves the wrist jointas well as the person’s age, gender, and medical history, and may range from two months to a year or more for complete recovery. Treatment of osteoporotic distal radius fractures. A fracture with mild angulation and displacement may require closed reduction.
In a study involving women aged frakfur 50 years, who suffered distal radius fractures from low-energy trauma, measures of fracture displacement were compared with bone mineral density. There was no statistically significant difference in the DASH scores in wrist flexion, radial deviation, pronation, supination, grip strength, or pinch strength. There is also scapholunate dissociation as a result of associated ligamentous rupture with volar tilt of lunate indicating volar flexion instability VISI.
Fracture displacement in the elderly, however, does not necessarily result in functional impairment. Handoll HH, Madhok R. A change of 10 degrees rotation between two consecutive control lateral radiographs is not uncommon during clinical follow-up and results in 5 degrees change in apparent tilt.
Fraitur means that the wrist, elbow and shoulder are all in the transverse plane, perpendicular to the x-ray beam.