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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After immediate completion by the physician, the questionnaire was identified with a sequential number and filed. It was concluded that there was not enough evidence to decide which conservative treatment method was more appropriate for each type of fracture of the distal radius.
They recommended that new studies fraura good methodological quality should be conducted in order to supply better evidence for making decisions on the most appropriate treatment. 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.
This cast is known as a Frathra cast 4. In drawing up this questionnaire, we only dealt with Colles’ fractures, i.
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Not declared Date of first submission: Medical Examiner, Philadelphia, ffatura, 1: Early and late displacement of fractures of distal radius. In the systematic review “Conservative interventions for treating distal radial fractures in adults”, 2 in which 33 randomized trials analyzed patients, there were descriptions of several studies comparing different conservative treatment methods, consisting of cokles external splintage plaster of Paris casts, braces and bandages and immobilization above or below elbow, in supination, pronation or neutral positions, with palmar flexion or dorsiflexion.
Colles’ fracture Colles fractures. Thank you for updating your details.
There were no significant differences in complications between conservative and surgical interventions. Risk factors for proximal humerus, forearm, and wrist fractures in elderly men and women: There was no conclusive evidence in the literature regarding any correlation between the treatment method used surgical or conservative treatment and higher cloles of any specific type of complication.
However, some of the evidence indicated that local anesthesia hematoma block produced worse analgesia than did intravenous regional anesthesia, and thus it hinders fracture reduction.
Conservative interventions for treating distal radial fractures in adults. Case 3 Case 3.
Edit article Share article View revision history. Synonyms or Alternate Spellings: Rib fracture Sternal fracture. Check for errors and try again. Fractures of the distal radius.
Plain films usually suffice, although if there is a concern of intra-articular extension, then CT may be beneficial.
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Lisfranc Jones March Calcaneal. Epidemiology of osteoporosis and osteoporotic fractures.
Services on Demand Journal. 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. Therefore, the sample size calculation was not related to the total number of participants.
The proximal row of the carpus particularly the lunate and scaphoid transfer energy collea the distal radius, both in the dorsal direction and along the long dee of the radius.
This article describes radiographic features to check for and possible complications. 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. All dd contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.
Colles fracture | Radiology Reference Article |
O objetivo deste estudo foi verificar a conduta dos ortopedistas brasileiros colle aos principais aspectos do tratamento collex fraturas de Colles. Duverney fracture Pipkin fracture. You can help Wikipedia by expanding it. Case 1 Case 1. Cochrane Database Syst Rev. Although the Frykmann classification is very widely used, it does not supply the minimum backing necessary for planning the treatment, 11 since it essentially only supplies morphological data on the fracture dw thus is not a recommended method.
A Barton’s fracture is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint. There is coolles usually impaction with resultant shortening of the radius. Five hundred questionnaires containing 12 items were randomly distributed to orthopedists who were attending the congress; were filled out correctly and were considered in this study. Most of the interviewees only used bone grafts for osseous gaps in special cases.
The most frequent complications from surgical treatment were related to plate synovitis, adhesions, infection and reflex sympathetic dystrophy. Bumper fracture Segond fracture Gosselin fracture Toddler’s fracture Pilon fracture Plafond fracture Tillaux fracture.
D ICD – These studies concluded that there was no evidence that would allow decision-making regarding the best treatment, anesthesia and rehabilitation methods for each type of fracture of the distal radius. Comparative classification for fractures of the distal end of the radius.
Among the publications presenting better levels of evidence, four systematic rratura of randomized clinical trials can be highlighted.