0071643192.pdf

ORTHOPEDICS

COMPLICATIONS

Same as lunate dislocations

Forearm Injuries

COLLESFRACTURE

MECHANISM

FOOSH.

DIAGNOSIS

X-ray shows fracture of distal radius with dorsal displacement (“dinner fork

deformity”).

TREATMENT

■ Closed reduction should be performed if fracture fragment has any dorsal

angulation (distal radius is normally tilted 15° volarly). Goals of reduction

are to restore volar tilt, inclincation, and length to radius.

■ Sugar-tong splint, orthopedic follow-up.

COMPLICATIONS

Early arthritis (if intra-articular), malunion, median nerve injury, 60% associated

with ulnar styloid fracture

SMITHFRACTURE(REVERSECOLLESFRACTURE)

DIAGNOSIS

Distal radius with volar displacement (“garden spade deformity”) of the distal

fragment (see Figure 4.7)

FIGURE 4.7. Smith fracture.