How do you classify a distal radius fracture?

How do you classify a distal radius fracture?

Classification

  1. type I: transverse metaphyseal fracture.
  2. type II: type I + ulnar styloid fracture.
  3. type III: fracture involves the radiocarpal joint.
  4. type IV: type III + ulnar styloid fracture.
  5. type V: transverse fracture involves distal radioulnar joint.
  6. type VI: type V + ulnar styloid fracture.

What is the classification of the radius?

The five-part classification is based on the observation that there are four components to radiocarpal articular injuries: the radial shaft, radial styloid, dorsal medial fragment and palmar medial fragment of the lunate facet of the radius.

What type of fracture is a Colles fracture?

The Colles fracture is defined as a distal radius fracture with dorsal comminution, dorsal angulation, dorsal displacement, radial shortening, and an associated fracture of the ulnar styloid. [1] The term Colles fracture is often used eponymously for distal fractures with dorsal angulation.

What is the difference between Colles fracture and Smith fracture?

Smith’s fractures are less common than Colles’ fractures. The distal fracture fragment is displaced volarly (ventrally), as opposed to a Colles’ fracture which the fragment is displaced dorsally….

Smith’s fracture
Other names Reverse Colles’ fracture, Goyrand-Smith’s
Smith’s fracture
Specialty Orthopedics

Do all Colles fractures require surgery?

How is it treated? Mild triquetral fractures usually don’t require surgery. Instead, your doctor will likely perform a procedure called a reduction. This involves gently moving your bones into their proper place without making an incision.

Is a Colles fracture?

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 of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface.

How is Colles fracture diagnosed?

Colles’ fracture diagnosis Your doctor may be able to tell that you’ve fractured your wrist based on a physical exam. With these types of fractures, the wrist may bend in an awkward way or look abnormal. Often, your doctor will order an x-ray to confirm the condition, location, and severity of the break.

What does Colles fracture look like?

The clinical presentation of Colles fracture is commonly described as a dinner fork deformity. A distal fracture of the radius causes posterior displacement of the distal fragment, causing the forearm to be angled posteriorly just proximal to the wrist.

How is a Colles fracture different from a broken wrist?

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. It is commonly called a “broken wrist” although the distal radius is the location of the fracture, not the carpal bones of the wrist.

How are dorsal and volar used to classify distal radius fractures?

Dorsal is left, and volar is right in the image. There are a number of ways to classify distal radius fractures. Classifications systems are devised to describe patterns of injury which will behave in predictable ways, to distinguish between conditions which have different outcomes or which need different treatments.

Are there universal codes for distal radius fractures?

Universal codes are: Widely used system that includes 27 subgroups. Three main groups based on fracture joint involvement (A – extra-articular, B – partial articular, C – complete articular). Classification further defined based on level of comminution and direction of displacement.

Why do we need a wrist fracture classification system?

Classifications systems are devised to describe patterns of injury which will behave in predictable ways, to distinguish between conditions which have different outcomes or which need different treatments. Most wrist fracture systems have failed to accomplish any of these goals and there is no consensus about the most useful one.

How do you classify a distal radius fracture? Classification type I: transverse metaphyseal fracture. type II: type I + ulnar styloid fracture. type III: fracture involves the radiocarpal joint. type IV: type III + ulnar styloid fracture. type V: transverse fracture involves distal radioulnar joint. type VI: type V + ulnar styloid fracture. What is…