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 of distal radius ("reverse Colles fracture" or "garden-spade deformity") | ||
==Clinical Features== | ==Clinical Features== | ||
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==Disposition== | ==Disposition== | ||
*Outpatient | *Outpatient | ||
==Complications== | |||
*Malunion can result in chronic garden spade deformity | |||
**Can also lead to [[Carpal tunnel syndrome]] | |||
==See Also== | ==See Also== | ||
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==References== | ==References== | ||
<ref>https://radiopaedia.org/articles/smith-fracture</ref> | |||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 18:21, 14 March 2018
Background
- Volar angulated fracture of distal radius ("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
- Typically unstable and requires surgical fixation
Disposition
- Outpatient
Complications
- Malunion can result in chronic garden spade deformity
- Can also lead to Carpal tunnel syndrome
See Also
References
- ↑ 1.0 1.1 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.
- ↑ https://radiopaedia.org/articles/smith-fracture