Fractures of the distal radius (Colles’ fracture). Fraturas do rádio distal (Fratura de Colles). João Carlos Belloti; João Baptista Gomes dos. PDF | Although Colles’ fracture is a common clinical situation for the CONTEXTO E OBJETIVO: Embora as fraturas de Colles sejam uma. Colles fractures are very common extra-articular fractures of the distal radius that occur as the result of a fall onto an outstretched hand. They consist of a fracture.
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They are particularly common in patients with osteoporosisand as such, they are most frequently seen in elderly women.
As such, in clinical practice, the use of the term Fratuta fracture with an appropriate description of any associated injuries is sufficient in most instances. How to cite this article. We found in the literature a great number of papers on the several types and methods for treating these fractures, but without any definitions regarding the best treatment option for each fracture type.
There was no conclusive evidence on the best anesthesia method in relation to effectiveness, safety and influence on fracture reduction. Given the results from the present study and the best evidence from the literature, we conclude that there is no scientific evidence powerful enough to allow definitive conclusions concerning the main aspects of managing distal radius fractures.
Maisonneuve fracture Le Fort fracture of ankle Bosworth fracture. Case 6 Case 6.
Views Read Edit View history. Conservative interventions for treating distal radial fractures in adults. The aim of the present study was to investigate Brazilian orthopedists’ collss regarding the main aspects of treatments for Colles’ fracture.
The objective was to evaluate the main features of treating these fractures, and also the most frequent complications and the prognosis. Check for errors and try again.
Anaesthesia for treating distal radial fracture in adults. Duverney fracture Pipkin fracture. A Barton’s fraturra is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint. Infobox medical condition new All stub articles.
The participants filled collez a questionnaire that had been drawn up previously, in which there were 12 objective multiple-choice questions that dealt with matters of relevance to treating Colles’ fracture. Basilar skull fracture Blowout fracture Mandibular fracture Nasal fracture Le Fort fracture of skull Zygomaticomaxillary complex fracture Zygoma fracture.
Most fractures are therefore dorsally angulated and impacted. Services on Demand Journal. Case 7 Case 7.
Early and late fraturz of fractures of distal radius. Although Colles’ fracture is a common clinical situation for the orthopedist, we did not find any information in the literature that would allow safe decision-making on fratua best treatment for each fracture type. 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.
Residual pain and impaired joint mobility were the most frequent complications in both treatment types Figures 8 and 9.
Trials using carefully designed methodology should be conducted in the future, in order to obtain high-quality evidence regarding classification systems, best methods for conservative and surgical treatment and criteria for defining instability patterns. Barton’s fracture A palmar Barton’s fracture of the right wrist, as shown on a 3D-rendered CT scan A Barton’s fracture is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint.
Cochrane Database Syst Rev. It was shown that there was no statistically significant difference between these two reduction methods. There is also usually impaction with resultant shortening of the radius. The population was assumed to frtura infinite, because not every orthopedist attending the congress could be included in the target sample. Most of the interviewees only used bone grafts for osseous gaps in special cases. There are also growing ethical and legal demands for cosmetic and functional results for patients.
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Not declared Conflicts of interest: Trimalleolar fracture Bimalleolar fracture Pott’s fracture. Case 2 Case 2. The main factors in making decisions on interventions in fracture cases were whether the fracture was intra-articular, the existence of shortening fratkra the distal radius and the patient’s age.
Younger patients who sustain Colles fractures cratura usually been involved in high impact trauma or have fallen, e.
Only take into consideration fractures of the distal radius in patients over fratra years old, except for cases of fractures caused by avulsion and Barton’s fracture. Therefore, the sample size calculation was not related to the total number of participants. There were conflicting opinions regarding surgical treatment methods, classification types and complications.
Bumper fracture Segond fracture Gosselin fracture Toddler’s fracture Pilon fracture Plafond fracture Tillaux fracture. A number of classification systems exist for distal forearm fractures.
They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface.
This page fraura last edited on 27 Octoberat