Difference between revisions of "Smith's fracture"

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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")
*Occurs due to fall onto the dorsum of the hand with wrist in flexion, or direct blow to dorsum of hand/wrist
 
  
 
==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/>
*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. 
 
 
  
 
[[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

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. 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.