Colles' fracture

1. WELCOME TO MY PRESENTATION

2. Presented by Mahashin akond Roll no-(DU)- 778 Regi no-(DU)-314 Final year (BScPT) IHT ,Dhaka.

3. Colles’ Fracture

4. Definition A Colles’ fracture is a break in the distal part of the radius bone 2.5cm above from the articular surface Inventor Abraham colles a surgeon, in 1884

5. Incidence Not more common fracture But Frequently occur in young adult Basically those who are over 40 years.

6. Causes Road traffic accident Direct blow Fall from height

7. Rick Factors Factors which increase the chance of fractures are 1.Osteoporosis 2.Poor nutrition 3.Condition that increase risk of falling Snow ,Ice, Loss of agility or muscle strength 4.Advancing age 5.Post menopause 6.Decrease muscle mass.

8. Mechanism of injury Fall on an Outstretched hand lead to fracture

9. Associated injury Tendon :Rupture of extensor policis longus and peritendinious adhesion of both the flexor and extensor compartments may occur. Nerves :Nerve injuries include median nerve contusion ,resulting in the development of carpal tunnel syndrom.

10. Types Open fracture Close fracture Intra articular fracture Extra articular fracture Comminuted fracture.

11. Sign & Symptoms Snap or cracking sound Most of the time a person will know if he have a broken arm Area will be tender & swollen Obvious deformity Decrease sensation or irritability to move the limb, which may indicate nerve damage.

12. Deformity Volar angulations of the apex of the fracture The deformity is called “Silver fork deformity ”or “Dinner fork deformity”

13. Investigation Radiological investigation –X-ray

14. Management Reduction : –Manipulative reduction under anesthesia. Immobilization : By Plaster cast(below elbow),ORIF(open reduction internal fixation),OREF(open reduction external fixation)

15. Physiotherapy Main role of physiotherapy is in rehabilitation

16. Objectives of rehabilitation Maintain joint range of motion Increase muscle strength Improve functional ability

17. Exercise programme During reduction plaster cast -Uninvolved joint active rang of motion -Wrist joint passive supination & pronation -Isometric hand muscle exercise

18. continue After removal the cast -Mobilized the affected wrist -Start some strengthening exercise -Start weight bearing exercise Later stage Advance exercise ,full weight bearing exercise

19. Complication Malunion Rupture of extensor pollicis tendon Sudeck’s osteostrophy Carpal tunnel syndrom Non union

20. Prognosis Expected time for healing 6 th to 8 th weeks until the fracture is stable. Earlier treatment usually improves the result Chronic disease such as osteoporosis and diabetes may slow the healing time.

21. References Books for Tidy’s physiotherapy Adam’s orthopedic Applies orthopedic

22. THE END Thank you Everybody for quite concentration

23. Any Question please????