Smith's fracture
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
Imaging
- Similar but opposite to Colles' fracture
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 |
Management
- Similar to Colles' fracture
- sugar tong splint in supination
See Also
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.