Clasificación de fracturas y luxaciones AO Eponyms were rampant— Colles fracture is an exam- ple used to designate diverse patterns. PDF | Fractures name vs classifications | ResearchGate, the professional network for scientists. Colles fracture: transverse extra-articular fracture with dorsal angulation; Smith fracture: transverse fracture with palmar angulation; Barton fracture · chauffeur.
There are many radiological classification systems, e. Log in Sign up. In addition to noting the presence of a fracture a number of features should be sought and commented upon:.
They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface. Fractures of distal radius: J Hand Surg Eur Vol. Trauma is almost always the cause of distal radial fractures and is often the result of a fall onto an outstretched hand FOOSH.
Case 8 Case 8. The plain radiographic series often comprises an AP and a lateral view; however, it is not uncommon for an oblique view to be included. They are particularly common in patients with osteoporosisand as frxctura, they are most frequently seen in elderly women.
The majority of patients with a distal radial fracture present following a fall onto an outstretched hand. Cases and figures Imaging differential diagnosis.
This cast is known as a Colles cast 4. Synonyms or Alternate Spellings: In some complex cases, additional cross-sectional imaging usually CT is required to accurately assess the fracture. When describing the fracturethink about:. Log in Sign up. Combined fractures of the distal radius and scaphoid. Case 7 Case 7.
Fractura De Colles Tratamiento –
Unable to process the form. Late displacement warrants surgical consideration. Articles Cases Courses Quiz. Fractures with significant displacement require manipulation under sedation or anesthetic.
The degree of displacement usually dorsal is important because it will be a determining factor for treatment whether to reduce or not before immobilisation.
Thus, distal radial fractures in younger patients require much greater force, e. In the elderly, the bones tend to have a much lower bone density and are consequently much weaker.
The proximal row of the carpus particularly the lunate and scaphoid transfer energy to the distal radius, both in the dorsal direction and along the long axis of the radius. Check for errors and try again. This is especially true when there is a multi-part fracture with joint involvement. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.
If this force is greater than the strength of the bone, a fracture occurs.
Fractura De Colles Tratamiento
About Blog Go ad-free. They are best described in terms of their fracture type, location, displacement and joint involvement.
This is particularly true if the cast becomes loose once the wrist swelling subsides. Most distal radial fractures in adult patients are transverse metaphyseal cllles. Support Radiopaedia and see fewer ads. Scaphoid fracture Scaphoid fracture.
Case 5 Case 5. They are in pain and have a reduced range of motion. Case 2 Case 2. Support Radiopaedia and see fewer ads. Younger patients tending to be male and older patients tending to be female.
Most Colles fractures are secondary to a fall on an outstretched hand FOOSH with a pronated forearm in dorsiflexion the position one adopts when trying to break a forward fall. About Blog Go ad-free. Check for errors and try again. 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.
Force applied longitudinally or obliquely to the hand and wrist is absorbed by the distal radius because it is the load-bearing bone in the forearm. Traditionally, eponymous names were given to the common fracture types of the distal radius:. Colles’ fracture Colles fractures.
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