Difference between revisions of "Smith's fracture"

(minor clarification to management)
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*Occurs due to fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist
 
*Occurs due to fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist
  
==Imaging==
+
==Clinical Features==
*Similar but opposite to [[Colles' fracture]]
 
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Distal radius fracture DDX}}
 
{{Distal radius fracture DDX}}
 +
 +
==Evaluation==
 +
*X-ray forearm/wrist
  
 
==Management==
 
==Management==
*Similar to [[Colles' fracture]]
+
*[[Sugar tong splint]] in supination<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>
*[[sugar tong splint]] in supination
+
**Similar to [[Colles' fracture]]
 +
 
 +
==Disposition==
 +
*Outpatient
  
 
==See Also==
 
==See Also==

Revision as of 10:52, 16 October 2016

Background

  • Volar angulated fracture ("reverse Colles fracture" or "garden-spade deformity")
  • Occurs due to fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist

Clinical Features

Differential Diagnosis

Distal radius fractures

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

Disposition

  • Outpatient

See Also

References

  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.
  • 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.