Maintenance of reduction is extremely uncertain, however, and redisplacement of the fracture almost invariably occurs, resulting in an ugly wrist with impaired function. In all types of Smith’s fracture reduction can usually be effected by a manipulation like that used for a Colles’s fracture, but with all movements reversed. An open fracture will always require surgical intervention. Significant angulation and deformity may require an open reduction and internal fixation. A fracture with mild angulation and displacement may require closed reduction. An undisplaced fracture may be treated with a cast alone. Treatment of this fracture depends on the severity of the fracture. In intra-articular fractures (type II) the degree of articular step-off and gap should be assessed, and this may require CT. The fracture line is usually evident, although in undisplaced of mildly impacted fractures it can be difficult to see and subtle cortical breaches / buckling should be sought. In most instances plain films suffice for diagnosis and characterization.
Smith fractures account for less than 3% of all fractures of the radius and ulna and have a bimodal distribution: young males (most common) and elderly females.Ĭommon symptoms of a Smith’s fracture are:ĭeformity in the front of your forearm near the wrist. The fracture can be split into three typesĮxtra-articular transverse fracture through the distal radius. Depending on the severity of the impact, there may be one or many fragments and it may or may not involve the articular surface of the wrist joint. The distal fracture fragment is displaced volarly (ventrally), as opposed to a Colles’ fracture which the fragment is displaced dorsally. Smith’s fractures are less common than Colles’ fractures.
It is caused by a direct blow to the dorsal forearm or falling onto flexed wrists, as opposed to a Colles’ fracture which occurs as a result of falling onto wrists in extension. A Smith’s fracture, also sometimes known as a reverse Colles’ fracture is a fracture of the distal radius.
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