![]() The position of the hand is important in determining the type of fracture that results. What are the causes of a Colles Fracture?Īlthough Colles Fractures are a heterogeneous group of injuries, the etiology is usually the same: a fall on an outstretched arm. Distal radius fractures can also pierce the skin resulting in an open fracture. When the distal radius is broken into many small pieces of bone as in a crush injury, it is deemed a comminuted fracture. These intra- or extra-articular fractures can either be displaced or alignment can be maintained. A fracture of the distal radius can be intra- or extra-articular, depending on whether the fracture extends into the wrist joint. Smith fractures, Chauffer’s fractures, and Barton’s fractures- other types of distal radius fractures- are also included under the umbrella of distal radius fractures.ĭistal radius fractures are further classified based on certain characteristics. At present time in the United States, and for the purposes of this article, we will refer to all distal radius fractures as Colles Fractures. It is commonly called a “broken wrist” although the distal radius is the location of the fracture, not the carpal bones of the wrist.įractures of the distal radius are extremely common and historically several methods of classification have been proposed. Good clinical results can be achieved with a low risk of complications and without the need for metalwork removal.Ĭlavicle fixation distal radius plate lateral end clavicle fracture orthopaedics trauma.A true Colles Fracture is a complete fracture of the radius bone of the forearm close to the wrist resulting in an upward (posterior) displacement of the radius and obvious deformity. Coracoclavicular fixation provided and maintained the reduction of the fracture. Conclusion Dorsal distal radius plates with suture anchor fixation appear to be a valuable alternative for the treatment of fractures of the lateral end of the clavicle. The pre-morbid level of function was restored following the rehab protocol and physiotherapy. There were no cases of wound complications, metal work irritation or fixation failures. ![]() ![]() Evidence of bone healing was noted in all cases within eight weeks post-operatively. There were no intra-operative complications. ![]() Results All patients achieved full range of motion of the shoulder at eight weeks postoperatively. Patients were treated by open reduction and internal fixation using dorsal distal radius locking plates and coracoid suture anchors. Patients and methods We retrospectively reviewed the clinical notes and radiographs of eight consecutive patients with fractures of the lateral end of the clavicle presented to our hospital between January 2016 and December 2017. In this series, we evaluate the results of internal fixation using dorsal distal radius locking plates and coracoid suture anchors. Different methods of fixation have been utilised to provide stability and improve healing and functional outcomes. Introduction Management of displaced fractures of the lateral end clavicle has always challenged orthopaedic surgeons, due to a high non-union rate, and difficulty achieving stable fixation allowing early mobilisation. ![]()
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