Difference between revisions of "Smith's fracture"

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==Evaluation==
 
==Evaluation==
*X-ray forearm/wrist
+
*Assess distal pulse, motor, and sensation
 +
*Inspect skin for any signs of open fracture
 +
*XRay
 +
**AP/Lateral of wrist and forearm
 +
*If intraarticular, may need CT for surgical planning
  
 
==Management==
 
==Management==
Line 18: Line 22:
  
 
==Disposition==
 
==Disposition==
*Outpatient
+
*Outpatient with Ortho follow-up
  
 
==Complications==
 
==Complications==

Revision as of 18:24, 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

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

  • Assess distal pulse, motor, and sensation
  • Inspect skin for any signs of open fracture
  • XRay
    • AP/Lateral of wrist and forearm
  • If intraarticular, may need CT for surgical planning

Management

Disposition

  • Outpatient with Ortho follow-up

Complications

See Also

References

[2]

  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.
  2. https://radiopaedia.org/articles/smith-fracture