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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
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
- Malunion can result in chronic garden spade deformity
See Also
References
[2]