Colles' and Smith's fractures are common distal radius fractures with distinct characteristics. Diagnosis typically involves X-rays, and treatment ranges from casting to surgical fixation. Complications can arise, necessitating careful management.

Colles' and Smith's Fractures Colles' and Smith's fractures are common distal radius fractures with distinct characteristics.
Diagnosis typically involves X-rays, and treatment ranges from casting to surgical fixation.
Complications can arise, necessitating careful management.

1. Colles ' and Smith's Fractures By Dr Almawsiley Alsayed BMMS MSc ANATOMY orthopaedic resident Sudanese board

2. Objectives 1. Understand the definitions and differences between Colles' and Smith's fractures. 2. Identify the symptoms, signs, and examination techniques. 3. Learn about the pathology, classification, and diagnostic tools. 4. Explore treatment options and potential complications.

3. Colles ' Fracture Definition: Distal radius fracture with dorsal angulation and displacement. Symptoms: Pain, swelling, dorsal angulation. Signs: Dorsal displacement, 'dinner fork' appearance.

4. Smith's Fracture Definition: Distal radius fracture with palmar angulation and displacement. Symptoms: Pain, swelling, palmar angulation. Signs: Palmar displacement, 'garden spade' appearance.

5. Diagnostic Tools Colles' Fracture: X-ray (anteroposterior and lateral views) CT scan (for complex cases) Smith's Fracture: X-ray (anteroposterior and lateral views) CT scan (for detailed assessment)

6. Treatments Colles' Fracture: Initial: Closed reduction and casting Surgical: Internal fixation if unstable Smith's Fracture: Initial: Closed reduction and casting Surgical: Internal fixation if needed Drugs: NSAIDs for pain relief (e.g., ibuprofen 400-600 mg every 6-8 hours)

7. Complications and Differential Diagnosis Complications: Malunion Complex Regional Pain Syndrome (CRPS) Neurovascular issues Differential Diagnosis: Wrist sprain Distal radius fracture

8. Summary and References Summary: Colles' and Smith's fractures are common distal radius fractures with distinct characteristics. Diagnosis typically involves X-rays, and treatment ranges from casting to surgical fixation. Complications can arise, necessitating careful management. References: 1. Rockwood, C. A., et al. (2010). Rockwood and Green's Fractures in Adults. 2. Hawkins, L. G., & Palumbo, A. A. (2020). Journal of Orthopaedic Trauma. 3. Klein, G. R., & Yoon, R. S. (2018). Orthopaedic Clinics of North America.