Smith's fracture: Difference between revisions
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==Background== | ==Background== | ||
*Volar angulated fracture ("reverse Colles fracture" or "garden-spade deformity") | *Volar angulated fracture ("reverse Colles fracture" or "garden-spade deformity") | ||
==Clinical Features== | ==Clinical Features== | ||
*Mechanism: fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref> | |||
*Wrist pain | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 10:58, 16 October 2016
Background
- Volar angulated fracture ("reverse Colles fracture" or "garden-spade deformity")
Clinical Features
- Mechanism: fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist[1]
- Wrist pain
Differential Diagnosis
Distal radius fractures
- Colles' fracture
- Smith's fracture
- Barton's fracture
- Radial styloid fracture
- Distal radioulnar joint disruption
Distal radius fracture eponyms
| Eponyms | Description |
| Barton's | Fracture-dislocation of radiocarpal joint (with intra-articular fracture involving the volar or dorsal lip) |
| Chauffer's | Fracture of radial styloid |
| Colles' | Dorsally displaced, extra-articular fracture |
| Die-punch | Depressed fracture of the lunate fossa (articular surface) |
| Smith's | Volar displaced, extra-articular fracture |
Evaluation
- X-ray forearm/wrist
Management
- Sugar tong splint in supination[1]
- Similar to Colles' fracture
Disposition
- Outpatient