Smith's fracture: Difference between revisions
No edit summary |
No edit summary |
||
Line 30: | Line 30: | ||
==See Also== | ==See Also== | ||
*[[Distal radius fractures]] | *[[Distal radius fractures]] | ||
==External Links== | |||
*https://radiopaedia.org/articles/smith-fracture | |||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] |
Revision as of 17:05, 27 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
- 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
- Sugar tong splint in supination[1]
- Similar to Colles' fracture
- Typically unstable and requires surgical fixation
Disposition
- Outpatient with Ortho follow-up
Complications
- Malunion can result in chronic garden spade deformity
- Can also lead to Carpal tunnel syndrome