Fractures of the distal radius (Colles’ fracture). Fraturas do rádio distal (Fratura de Colles). João Carlos Belloti; João Baptista Gomes dos. PDF | Although Colles’ fracture is a common clinical situation for the CONTEXTO E OBJETIVO: Embora as fraturas de Colles sejam uma. Colles fractures are very common extra-articular fractures of the distal radius that occur as the result of a fall onto an outstretched hand. They consist of a fracture.
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Views Read Edit View history. Comparative classification for fractures of the distal end of the radius. Unable to process the form.
J Bone Joint Surg Am. Although Colles’ fracture is a common clinical situation for the orthopedist, we did not find any information in the literature that would allow safe decision-making on the best treatment for each fracture type.
Case 3 Case 3. However, over the last decade, better-quality scientific studies have been published, thus providing some evidence for treating these fractures. Displaced intra-articular fractures of distal radius: Loading Stack – 0 images remaining. Dorsal angulation of the distal fracture fragment is present to a variable degree as opposed to volar angulation of a Smith fracture.
Trimalleolar fracture Bimalleolar fracture Pott’s fracture. Medical Examiner, Philadelphia,1: J Hand Surg [Am].
cratura This page was last edited on 27 Octoberat Thank you for updating your details. Scaphoid Rolando Bennett’s Boxer’s Busch’s. These studies concluded that there was no evidence that would allow decision-making regarding the best treatment, anesthesia and rehabilitation methods for each type of fracture of the distal radius.
Support Radiopaedia and see fewer ads. Yes, in all surgical treatments.
Synonyms or Alternate Spellings: This is because of the complexity of these fractures with regard to patient type, associated lesions, trauma mechanisms and the several classification methods used. Most fractures are therefore dorsally angulated and impacted. This cast is known as a Colles cast 4. Among the publications presenting better levels of evidence, four systematic reviews of randomized clinical frarura can be highlighted.
Case 2 Case 2.
Fratura de Colles by Renata Pinheiro on Prezi
Given the results from the present study and the best evidence from the literature, we conclude that there is no scientific evidence powerful enough to allow definitive conclusions concerning the main aspects of managing distal radius fractures. Duverney fracture Pipkin fracture. A randomized trial published in compared the reduction methods of manual manipulation and finger-trap traction, among frqtura with fractures. Therefore, the sample size calculation was not related to the total number of participants.
The participants filled out a questionnaire that had been drawn up previously, in which there were 12 objective multiple-choice questions that dealt with matters of relevance to treating Colles’ fracture. In the systematic review “Surgical interventions for treating distal radial fractures in adults”, 1 with 44 randomized trials and patients, it was concluded that there was not enough evidence for most of the decisions needed for surgically treating fractures of the distal radius.
There was no conclusive evidence in the literature regarding any correlation between the treatment method used surgical or conservative treatment and higher frequency of any specific type of complication. The Barton’s fracture is caused by a fall on an extended and pronated wrist increasing carpal compression force on the dorsal rim.
Edit article Share article View revision history. Basilar skull fracture Blowout fracture Mandibular fracture Nasal fracture Le Fort fracture of skull Zygomaticomaxillary complex fracture Zygoma fracture.
The fracture appears extra-articular and usually proximal to the radioulnar joint. Surgical interventions for treating distal radial fractures in adults.
Cross-sectional study conducted during the 34 th Brazilian Congress of Orthopedics and Traumatology. Rib fracture Sternal fracture. Trials using carefully designed methodology should be conducted in the future, in order to obtain high-quality evidence regarding classification systems, best methods for conservative and surgical treatment and criteria for defining instability patterns.
Views and treatment of an important injury of the wrist. Fratua of distal forearm fracture in British men and women. Handoll HH, Madhok R. They recommended that new studies of collee methodological quality should be conducted in order to supply better evidence for making dolles on the most appropriate treatment. Colles’ fracture Colles fractures.
There is also usually impaction with resultant shortening of the radius. Articles Cases Courses Quiz. It is stated in the literature that the degree of restoration of the articular alignment is the main prognostic factor for the fracture; 7,8 that the radial shortening that is seen on X-rays is considered to be one of the main elements denoting instability of the fracture; 9,10 and that the patient’s age reflects his or her potential for bone loss instability.
Although the Frykmann classification is very widely used, it does not supply the minimum backing necessary for planning the treatment, 11 since it essentially only supplies morphological data on the fracture and thus is not a recommended method. Conservative interventions for treating distal radial fractures in adults. We found in the literature a great number of papers on the several types and methods for treating these fractures, but without any definitions regarding the best treatment option for each fracture type.
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Services on Demand Journal. Only take into consideration fractures of the distal radius in patients over 40 years old, except for cases of fractures caused by avulsion and Barton’s fracture. In the systematic review “Conservative interventions for treating distal radial fractures in adults”, 2 in which 33 randomized trials analyzed patients, there were descriptions of several studies comparing different conservative treatment methods, consisting of both external splintage plaster of Paris casts, braces and bandages and immobilization above or below elbow, in supination, pronation or neutral positions, with palmar flexion or dorsiflexion.