Distal Radius — Colles/Smith/Barton
Colles: extra-articular, dorsal tilt; Smith: extra-articular, volar tilt; Barton: intra-articular rim fracture. Clinical deformities: dinner-fork (Colles), garden-spade (Smith). Stability factors: dorsal comminution, >20° angulation, >5 mm shortening, intra-articular involvement. Treatment: closed reduction/cast vs volar plate fixation. Complications: malunion, CRPS, post-traumatic arthritis.
Practised by MCQ
11What is the primary clinical deformity associated with a Colles' fracture?
mcqWhich of the following statements about Smith's fracture is correct?
mcqIn which type of fracture does the distal fragment typically displace volarly?
mcqWhich factor is NOT considered a stability factor for distal radius fractures?
mcqWhat is the primary treatment for a stable, extra-articular distal radius fracture?
mcqWhich complication is most commonly associated with distal radius fractures?
mcqWhat characterizes a Barton fracture?
mcqWhich of the following is the correct definition of the 'dinner fork' deformity?
mcqIn which type of fracture would you expect to see a 'garden spade' deformity?
mcqWhat is the primary goal in the reduction of a distal radius fracture?
mcqWhat is the significance of a distal radius fracture in a post-menopausal woman?