258:
40:
552:
544:
407:. The volar forearm splint is best for temporary immobilization of forearm, wrist and hand fractures, including Colles fracture. There are several established instability criteria: dorsal tilt >20°, comminuted fracture, abruption of the ulnar styloid process, intraarticular displacement >1mm, loss of radial height >2mm.
424:
Recovery time depends on the degree of bone displacement, the number of bone fragments, whether or not the break is "intra-articular" (involves the wrist joint), as well as the person's age, gender, and medical history, and may range from two months to a year or more for complete recovery.
216:
About 15% of people have a Colles' fracture at some point in their life. They occur more commonly in young adults and older people than in children and middle-aged adults. Women are more frequently affected than men. The fracture is named after
331:
is classically used to describe a fracture at the distal end of the radius, at its cortico-cancellous junction. However, the term now tends to be used loosely to describe any fracture of the distal radius, with or without involvement of the
1177:
336:, that has dorsal displacement of the fracture fragments. Colles himself described it as a fracture that “takes place at about an inch and a half (38mm) above the carpal extremity of the radius” and “the
241:
with posterior and lateral displacement of the distal fragment resulting in the characteristic "dinner fork" or "bayonet" like deformity. Colles fracture is a common fracture in people with
966:
383:
Management depends on the severity of the fracture. An undisplaced fracture may be treated with a cast alone. The cast is applied with the distal fragment in
512:
was the first to describe the Colles' fracture (which is sometimes called the
Pouteau-Colles fracture), but, according to P. Liverneaux, it is not the case.
858:
229:
The fracture is most commonly caused by people falling onto a hard surface and breaking their fall with outstretched hand (FOOSH)–falling with
713:
237:. Originally it was described in elderly and/or post-menopausal women. It usually occurs about three to five centimetres proximal to the
205:
and casting is possible in the majority of cases in people over the age of 50. Pain management can be achieved during the reduction with
877:
1115:
P. Liverneaux, "Qu'a vraiment décrit
Pouteau dans les fractures du poignet?" ("What wrist fracture did Pouteau actually describe?"),
952:
Colles A 2006 On the fracture of the carpal extremity of the radius. Edinb Med Surg J. 1814;10:181. Clin Orthop Relat Res 445:5-7.
607:
1120:
1073:
CODMAN, E. A. (1900). "A Study of the X-Ray Plates of One
Hundred and Forty Cases of Fracture of the Lower End of the Radius".
279:
1057:
1350:
1146:
1255:
501:
360:
1743:
834:
707:
915:
449:
291:
206:
962:
400:
399:
results in less redisplacement and better functional status. Significant angulation and deformity may require an
1499:
1418:
388:
202:
440:
Younger individuals tend to require a higher energy force to cause the fracture and tend to have more complex
1504:
1393:
1268:
939:
364:
257:
1728:
1494:
1398:
1345:
372:
368:
1192:
1868:
1574:
1559:
1248:
730:
Oussedik, S; Haddad, F (September 2005). "Manipulation and immobilization of Colles' fractures".
453:
433:
Colles fractures occur in all age groups, although certain patterns follow an age distribution.
1544:
1388:
1325:
697:
487:
who first described it in 1814 by simply looking at the classic deformity before the advent of
356:
156:
1752:
1687:
1608:
1403:
448:, an equivalent fracture is the "epiphyseal slip", as can be seen in other joints, such as a
315:
1757:
1723:
1569:
873:
8:
1613:
1564:
1408:
1335:
1302:
1292:
1287:
521:
492:
437:
In the elderly, because of the weaker cortex, the fracture is more often extra-articular.
410:
A higher amount of instability criteria increases the likelihood of operative treatment.
387:
and ulnar deviation. A fracture with mild angulation and displacement may require closed
234:
182:
It typically occurs as a result of a fall on an outstretched hand. Risk factors include
1842:
1832:
1762:
1528:
1413:
1241:
1098:
1008:
981:
963:"Adult Distal Radius Frx: Non Operative Treatment - Wheeless' Textbook of Orthopaedics"
933:
852:
799:
670:
643:
283:
238:
68:
57:
265:
Diagnosis can be made upon interpretation of anteroposterior and lateral views alone.
1733:
1682:
1641:
1598:
1549:
1466:
1461:
1453:
1373:
1282:
1090:
1053:
1013:
921:
911:
840:
830:
804:
786:
747:
743:
703:
675:
404:
109:
52:
1102:
1791:
1781:
1714:
1704:
1697:
1603:
1514:
1485:
1443:
1330:
1221:
1082:
1003:
993:
910:. Sarwark, John F. Rosemont, Ill.: American Academy of Orthopaedic Surgeons. 2010.
794:
778:
739:
665:
655:
599:
457:
445:
288:
272:
164:
416:
Repeat Xrays are recommended at one, two, and six weeks to verify proper healing.
1822:
1677:
1672:
1646:
1633:
1540:
1383:
1365:
1355:
1307:
1233:
1197:
1153:
441:
198:
124:
1086:
1837:
1827:
1692:
1663:
1618:
1378:
1340:
1036:
1031:
509:
473:
384:
218:
210:
1186:
1862:
1814:
1772:
1623:
1590:
1533:
1523:
1297:
1264:
1216:
1094:
925:
844:
790:
396:
261:
Colles fracture of the left hand, with posterior displacement clearly visible
160:
1124:
897:
Solomon et al., Apley's system of orthopaedics and fractures, 9th ed., p.772
765:
Owen, R A; Melton, L J; Johnson, K A; Ilstrup, D M; Riggs, B L (June 1982).
355:
Colles' fractures can be categorized according to several systems including
344:
appears to be thrown backward”. The fracture is sometimes referred to as a "
1800:
1476:
1438:
1141:
1017:
829:. Beltran, Javier (Professor of radiology) (Sixth ed.). Philadelphia.
766:
751:
679:
392:
337:
242:
183:
176:
102:
808:
782:
699:
Pfenninger and Fowler's
Procedures for Primary Care E-Book: Expert Consult
345:
187:
114:
97:
61:
1169:
1847:
1317:
998:
660:
341:
982:"Stabilization and treatment of Colles' fractures in elderly patients"
644:"Stabilization and treatment of Colles' fractures in elderly patients"
495:
was the first to study it using X-rays. His article, published in the
246:
132:
484:
172:
74:
480:
477:
349:
39:
1181:
1050:
Ernest Amory Codman : the end result of a life in medicine
488:
391:. There is some evidence that immobilization with the wrist in
268:
The classic Colles fracture has the following characteristics:
767:"Incidence of Colles' fracture in a North American community"
463:
More common in women because of post-menopausal osteoporosis.
230:
168:
333:
191:
1430:
764:
352:" deformity due to the shape of the resultant forearm.
456:
with the deforming forces directed through the weaker
213:. A year or two may be required for healing to occur.
1159:
1263:
1860:
695:
294:and dorsal angulation, together with radial tilt
827:Orthopedic imaging : a practical approach
729:
696:Pfenninger, John L.; Fowler, Grant C. (2010).
1249:
505:, also developed the classification system.
413:Treatment modalities differ in the elderly.
1256:
1242:
857:: CS1 maint: location missing publisher (
702:. Elsevier Health Sciences. p. 1292.
175:. Complications may include damage to the
38:
1007:
997:
798:
669:
659:
637:
635:
633:
631:
629:
627:
625:
594:
592:
590:
539:
537:
979:
725:
723:
691:
689:
641:
600:"Distal Radius Fractures (Broken Wrist)"
588:
586:
584:
582:
580:
578:
576:
574:
572:
570:
256:
1075:The Boston Medical and Surgical Journal
871:
1861:
1072:
1047:
622:
534:
1237:
720:
686:
567:
186:. The diagnosis may be confirmed via
1351:Zygomaticomaxillary complex fracture
824:
820:
818:
732:British Journal of Hospital Medicine
555:from the original on 13 October 2017
401:open reduction and internal fixation
980:Blakeney, William (November 2010).
502:The New England Journal of Medicine
497:Boston Medical and Surgical Journal
472:The Colles fracture is named after
47:An X-ray showing a Colles' fracture
13:
1744:Combined tibia and fibula fracture
908:Essentials of musculoskeletal care
900:
318:process in more than 60% of cases.
14:
1880:
1134:
891:
815:
771:American Journal of Public Health
642:Blakeney, WG (18 November 2010).
450:slipped capital femoral epiphysis
444:fractures. In children with open
322:
207:procedural sedation and analgesia
33:Colles fracture, Pouteau fracture
969:from the original on 2011-04-23.
744:10.12968/hmed.2005.66.Sup2.19718
716:from the original on 2017-10-13.
610:from the original on 2 July 2017
311:Comminution at the fracture site
1109:
1066:
1041:
1024:
986:Clinical Interventions in Aging
973:
955:
946:
880:from the original on 2011-06-13
648:Clinical Interventions in Aging
428:
278:2.5 cm (0.98 inches)
159:in which the broken end of the
1419:Vertebral compression fracture
865:
758:
308:Radial angulation of the wrist
157:fracture of the distal forearm
16:Type of distal radius fracture
1:
545:"Distal forearm 23-A2.2 CRIF"
527:
167:. Symptoms may include pain,
419:
378:
252:
92:Fall on an outstretched hand
7:
1119:, 2004, 23, 6, p. 298-304,
1087:10.1056/NEJM190009271431301
515:
314:Associated fracture of the
73:Pain, swelling, deformity,
10:
1885:
1394:Craniocervical instability
1125:abstract online in English
1052:. Philadelphia: Saunders.
508:It is sometimes said that
467:
305:Loss of ulnar inclination≤
221:who described it in 1814.
137:Recovery over 1 to 2 years
1813:
1790:
1771:
1742:
1729:Le Fort fracture of ankle
1713:
1662:
1655:
1632:
1589:
1513:
1484:
1475:
1452:
1429:
1399:Flexion teardrop fracture
1364:
1346:Le Fort fracture of skull
1316:
1275:
1207:
1163:
1121:abstract online in French
224:
141:
131:
120:
108:
96:
88:
80:
67:
51:
46:
37:
29:
24:
825:Adam, Greenspan (2015).
1575:Essex-Lopresti fracture
1505:Holstein–Lewis fracture
454:Salter I or II fracture
373:Older's classifications
298:Other characteristics:
233:flexed would lead to a
1389:Clay-shoveler fracture
1326:Basilar skull fracture
938:: CS1 maint: others (
452:in the hip. This is a
275:fracture of the radius
262:
197:Treatment may include
1753:Trimalleolar fracture
1048:Mallon, Bill (2000).
783:10.2105/ajph.72.6.605
549:www2.aofoundation.org
361:Gartland & Werley
260:
1758:Bimalleolar fracture
1724:Maisonneuve fracture
1117:Chirurgie de la main
194:may also be broken.
1409:Holdsworth fracture
1336:Mandibular fracture
1303:Pathologic fracture
1293:Greenstick fracture
1288:Chalkstick fracture
493:Ernest Amory Codman
1688:Toddler's fracture
1529:Monteggia fracture
1414:Jefferson fracture
1404:Hangman's fracture
1208:External resources
1156:Wheeless' Textbook
999:10.2147/CIA.S10042
874:"Colles' fracture"
661:10.2147/CIA.S10042
604:orthoinfo.aaos.org
284:radio-carpal joint
263:
239:radio-carpal joint
203:Surgical reduction
145:~15% lifetime risk
58:Emergency medicine
1856:
1855:
1809:
1808:
1734:Bosworth fracture
1683:Gosselin fracture
1642:Duverney fracture
1585:
1584:
1454:Shoulder fracture
1374:Cervical fracture
1283:Avulsion fracture
1231:
1230:
1059:978-0-7216-8461-1
405:external fixation
302:Radial shortening
245:, second only to
190:. The tip of the
171:, deformity, and
149:
148:
110:Diagnostic method
19:Medical condition
1876:
1792:Femoral fracture
1782:Patella fracture
1715:Fibular fracture
1705:Tillaux fracture
1698:Plafond fracture
1660:
1659:
1515:Forearm fracture
1486:Humerus fracture
1482:
1481:
1444:Sternal fracture
1331:Blowout fracture
1269:cartilage damage
1258:
1251:
1244:
1235:
1234:
1161:
1160:
1128:
1113:
1107:
1106:
1070:
1064:
1063:
1045:
1039:
1028:
1022:
1021:
1011:
1001:
977:
971:
970:
959:
953:
950:
944:
943:
937:
929:
904:
898:
895:
889:
888:
886:
885:
869:
863:
862:
856:
848:
822:
813:
812:
802:
762:
756:
755:
727:
718:
717:
693:
684:
683:
673:
663:
639:
620:
619:
617:
615:
596:
565:
564:
562:
560:
541:
522:Smith's fracture
476:(1773–1843), an
458:epiphyseal plate
340:and the base of
235:Smith's fracture
153:Colles' fracture
42:
25:Colles' fracture
22:
21:
1884:
1883:
1879:
1878:
1877:
1875:
1874:
1873:
1859:
1858:
1857:
1852:
1805:
1786:
1767:
1763:Pott's fracture
1738:
1709:
1678:Segond fracture
1673:Bumper fracture
1651:
1647:Pipkin fracture
1634:Pelvic fracture
1628:
1581:
1541:Radius fracture
1509:
1471:
1448:
1425:
1384:Chance fracture
1366:Spinal fracture
1360:
1356:Zygoma fracture
1312:
1308:Spiral fracture
1271:
1262:
1232:
1227:
1226:
1203:
1202:
1172:
1154:Colles Fracture
1137:
1132:
1131:
1114:
1110:
1081:(13): 305–308.
1071:
1067:
1060:
1046:
1042:
1029:
1025:
978:
974:
961:
960:
956:
951:
947:
931:
930:
918:
906:
905:
901:
896:
892:
883:
881:
870:
866:
850:
849:
837:
823:
816:
763:
759:
728:
721:
710:
694:
687:
640:
623:
613:
611:
598:
597:
568:
558:
556:
543:
542:
535:
530:
518:
499:, now known as
470:
442:intra-articular
431:
422:
381:
329:Colles fracture
325:
255:
227:
20:
17:
12:
11:
5:
1882:
1872:
1871:
1869:Bone fractures
1854:
1853:
1851:
1850:
1845:
1840:
1835:
1830:
1825:
1819:
1817:
1811:
1810:
1807:
1806:
1804:
1803:
1797:
1795:
1788:
1787:
1785:
1784:
1778:
1776:
1769:
1768:
1766:
1765:
1760:
1755:
1749:
1747:
1740:
1739:
1737:
1736:
1731:
1726:
1720:
1718:
1711:
1710:
1708:
1707:
1702:
1701:
1700:
1693:Pilon fracture
1690:
1685:
1680:
1675:
1669:
1667:
1664:Tibia fracture
1657:
1653:
1652:
1650:
1649:
1644:
1638:
1636:
1630:
1629:
1627:
1626:
1621:
1616:
1611:
1606:
1601:
1595:
1593:
1587:
1586:
1583:
1582:
1580:
1579:
1578:
1577:
1572:
1567:
1562:
1557:
1552:
1538:
1537:
1536:
1531:
1520:
1518:
1511:
1510:
1508:
1507:
1502:
1497:
1491:
1489:
1479:
1473:
1472:
1470:
1469:
1464:
1458:
1456:
1450:
1449:
1447:
1446:
1441:
1435:
1433:
1427:
1426:
1424:
1423:
1422:
1421:
1416:
1411:
1406:
1401:
1396:
1391:
1386:
1381:
1379:Burst fracture
1370:
1368:
1362:
1361:
1359:
1358:
1353:
1348:
1343:
1341:Nasal fracture
1338:
1333:
1328:
1322:
1320:
1314:
1313:
1311:
1310:
1305:
1300:
1295:
1290:
1285:
1279:
1277:
1273:
1272:
1261:
1260:
1253:
1246:
1238:
1229:
1228:
1225:
1224:
1212:
1211:
1209:
1205:
1204:
1201:
1200:
1189:
1173:
1168:
1167:
1165:
1164:Classification
1158:
1157:
1150:
1149:
1136:
1135:External links
1133:
1130:
1129:
1108:
1065:
1058:
1040:
1023:
972:
954:
945:
916:
899:
890:
864:
836:978-1451191301
835:
814:
777:(6): 605–607.
757:
719:
709:978-1455700929
708:
685:
621:
606:. March 2013.
566:
532:
531:
529:
526:
525:
524:
517:
514:
510:Claude Pouteau
474:Abraham Colles
469:
466:
465:
464:
461:
438:
430:
427:
421:
418:
395:as opposed to
385:palmar flexion
380:
377:
324:
323:Classification
321:
320:
319:
312:
309:
306:
303:
296:
295:
286:
276:
254:
251:
226:
223:
219:Abraham Colles
211:hematoma block
147:
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143:
139:
138:
135:
129:
128:
122:
118:
117:
112:
106:
105:
100:
94:
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78:
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71:
65:
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55:
49:
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44:
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35:
34:
31:
27:
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18:
15:
9:
6:
4:
3:
2:
1881:
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1867:
1866:
1864:
1849:
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1844:
1841:
1839:
1836:
1834:
1831:
1829:
1826:
1824:
1821:
1820:
1818:
1816:
1815:Foot fracture
1812:
1802:
1799:
1798:
1796:
1793:
1789:
1783:
1780:
1779:
1777:
1774:
1773:Crus fracture
1770:
1764:
1761:
1759:
1756:
1754:
1751:
1750:
1748:
1745:
1741:
1735:
1732:
1730:
1727:
1725:
1722:
1721:
1719:
1716:
1712:
1706:
1703:
1699:
1696:
1695:
1694:
1691:
1689:
1686:
1684:
1681:
1679:
1676:
1674:
1671:
1670:
1668:
1665:
1661:
1658:
1654:
1648:
1645:
1643:
1640:
1639:
1637:
1635:
1631:
1625:
1624:Broken finger
1622:
1620:
1617:
1615:
1612:
1610:
1607:
1605:
1602:
1600:
1597:
1596:
1594:
1592:
1591:Hand fracture
1588:
1576:
1573:
1571:
1568:
1566:
1563:
1561:
1558:
1556:
1553:
1551:
1548:
1547:
1546:
1545:Distal radius
1542:
1539:
1535:
1534:Hume fracture
1532:
1530:
1527:
1526:
1525:
1524:Ulna fracture
1522:
1521:
1519:
1516:
1512:
1506:
1503:
1501:
1500:Supracondylar
1498:
1496:
1493:
1492:
1490:
1487:
1483:
1480:
1478:
1474:
1468:
1465:
1463:
1460:
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1445:
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1440:
1437:
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1434:
1432:
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1420:
1417:
1415:
1412:
1410:
1407:
1405:
1402:
1400:
1397:
1395:
1392:
1390:
1387:
1385:
1382:
1380:
1377:
1376:
1375:
1372:
1371:
1369:
1367:
1363:
1357:
1354:
1352:
1349:
1347:
1344:
1342:
1339:
1337:
1334:
1332:
1329:
1327:
1324:
1323:
1321:
1319:
1315:
1309:
1306:
1304:
1301:
1299:
1298:Open fracture
1296:
1294:
1291:
1289:
1286:
1284:
1281:
1280:
1278:
1274:
1270:
1266:
1259:
1254:
1252:
1247:
1245:
1240:
1239:
1236:
1223:
1219:
1218:
1217:AO Foundation
1214:
1213:
1210:
1206:
1199:
1195:
1194:
1190:
1188:
1184:
1183:
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1801:Hip fracture
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1477:Arm fracture
1439:Rib fracture
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429:Epidemiology
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393:dorsiflexion
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292:displacement
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243:osteoporosis
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201:or surgery.
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184:osteoporosis
181:
177:median nerve
152:
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103:Osteoporosis
98:Risk factors
1560:Chauffeur's
346:dinner fork
249:fractures.
81:Usual onset
62:orthopedics
30:Other names
1848:Broken toe
992:: 337–44.
884:2009-02-21
654:: 337–44.
614:12 October
559:13 October
528:References
369:Nissen-Lie
342:metacarpus
273:Transverse
1843:Calcaneal
1833:Cuneiform
1609:Bennett's
1265:Fractures
1095:0096-6762
1032:synd/2152
934:cite book
926:706805938
853:cite book
845:876669045
791:0090-0036
446:epiphyses
420:Prognosis
389:reduction
379:Treatment
327:The term
253:Diagnosis
247:vertebral
165:backwards
142:Frequency
133:Prognosis
127:, surgery
121:Treatment
53:Specialty
1863:Category
1823:Lisfranc
1599:Scaphoid
1570:Barton's
1550:Galeazzi
1495:Proximal
1467:Scapular
1462:Clavicle
1103:57812302
1018:21228899
967:Archived
878:Archived
752:16200794
714:Archived
680:21228899
608:Archived
553:Archived
516:See also
485:Kilkenny
371:and the
365:Lidström
280:proximal
173:bruising
169:swelling
163:is bent
75:bruising
69:Symptoms
1619:Busch's
1614:Boxer's
1604:Rolando
1565:Smith's
1555:Colles'
1276:General
1222:23-A2.2
1198:D003100
1009:3010169
809:7072880
800:1650126
671:3010169
483:, from
481:surgeon
468:History
357:Frykman
350:bayonet
282:to the
199:casting
1147:CHORUS
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489:X-rays
348:" or "
338:carpus
289:dorsal
231:wrists
225:Causes
188:X-rays
161:radius
115:X-rays
89:Causes
84:Sudden
1838:March
1828:Jones
1187:S52.5
1142:00913
1099:S2CID
478:Irish
209:or a
1431:Ribs
1318:Head
1267:and
1193:MeSH
1091:ISSN
1054:ISBN
1014:PMID
940:link
922:OCLC
912:ISBN
859:link
841:OCLC
831:ISBN
805:PMID
787:ISSN
748:PMID
704:ISBN
676:PMID
616:2017
561:2017
334:ulna
192:ulna
125:Cast
1656:Leg
1178:ICD
1145:at
1083:doi
1079:143
1035:at
1004:PMC
994:doi
795:PMC
779:doi
740:doi
666:PMC
656:doi
403:or
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