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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McQueen M, Caspers J. The name is derived from an analogy of breaking a young, fresh tree branch.
Colles’ fracture – Wikipedia
This results in malfunction and early osteoarthritis. Bumper fracture Segond fracture Gosselin fracture Toddler’s fracture Pilon fracture Plafond fracture Tillaux fracture. The initial treatment for most radius fractures is closed reduction and plaster immobilization. Pain, swelling, deformity, bruising .
Comparative outcomes study using the volar locking plating system for distal radius fractures in both young adults and adults older than 60 years.
The proximal frakktur 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.
Notice the depression of the volar rim. Even in a cast the volar fragment will show progressive displacement at follow-up and a volar buttress plate is dolles to hold the volar rim in place. A prospective study of thirty cases.
The extensor carpi ulnaris tendon groove should be at the level of or radial to the base of the ulnar styloid. Case 3 Case 3. J Bone Joint Surg Am. Effect of calcium and vitamin D supplementation on bone density in men frajtur women 65 years of age or older.
There is also scapholunate dissociation colels a result of associated ligamentous rupture with volar tilt of lunate indicating volar flexion instability VISI.
Archived from the original on In both categories, patients encouraged to mobilize the injured wrist from the outset recovered wrist movement and strength more quickly than those immobilized in a conventional plaster cast.
The risk of adverse outcomes in extra-articular distal radius fractures is increased with malalignment in patients of all ages but mitigated in older patients.
Recovery over 1 to 2 years . This positioning will make the lateral view exactly perpendicular to the PA view. They were compared to a cohort of patients younger than 60 years treated with the same method, and there was no statistical difference in radiographic or functional outcomes. The cast extends from below the elbow to the metacarpal heads and holds the wrist somewhat flexed and in ulnar deviation 4 – for those of you familiar with Australian rules football; this position is reminiscent of the position adopted when holding a ball in preparation for a kick.
On the left a dorsal-type Barton’s fracture. The distal ulna articulates with the sigmoid notch of the radius. After closed reduction and at follow up after one week, there is an acceptable tilt. Volar plates were used with screws to lock the dorsal rim. Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patient. Colles’ fracture A Colles’ fracture is a fracture of the distal metaphysis of the radius with dorsal angulation and displacement leading to a ‘silver fork deformity’.
In elderly patients with osteoporosis, it is often difficult to fill the void left by impacted metaphyseal bone. Fractures of the distal end of radius in elderly patients: Loss of radial inclination will increase the load across the lunate.
Shoulder, elbow and wrist are again in one plane, i. A splint or cast is placed in such a way that the risk of re-displacement is minimized.
Wrist – Fractures
The vast majority of Colles fractures can be treated with closed reduction and cast immobilisation. A prospective, randomized study compared the outcome collse conservative treatment with that using an osteoconductive synthetic material on patients aged over 50 years with fractures of the distal radius. The volar forearm splint is best for temporary immobilization of forearm, wrist and hand fractures, including Colles fracture.
High-powered randomized controlled trials fgaktur required to better evaluate the different methods of stabilization in elderly populations.
Surgical treatment Craktur in most cases closed reduction is attempted, surgical intervention is required when there is failure to obtain or maintain closed reduction. Fractures of the distal radius in low-demand elderly patients: Check for errors and try again. A randomized trial of nasal spray salmon calcitonin in postmenopausal women with established osteoporosis: