Difference between revisions of "Smith's fracture"

(Management)
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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
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 +
==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

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

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