Colles fracture presentation

Colles fracture presentation

1. Welcome to my Presentation Which is the Part of Teaching Methodology

2. All about Myself Faysal Ahammed BPT 5 th Batch(4 th year) Roll: 26 Institute of Health Technology. Under Faculty of Medicine University of Dhaka.

3. Celle's Fracture

4. Celle's fracture was first described by Abraham coll e's in the year 1814. It is a fracture of lower end of radius also include dislocation of the inferior radioulnar joint, fracture occur abut 2.5cm above the carpal extremity of the radius.

5. Causes  Have osteoporosis, a disease that weakens your bones Postmenopausal osteoporosis. Commonest skeletal injury In Elderly. Have low muscle mass, poor muscle strength, or lack agility (these conditions make you more likely to fall) Walk or do other activities in snow, on ice, or that require a lot of forward momentum, such as in-line skating and skiing Have an inadequate intake of calcium or vitamin D Road Traffic Accident, fall from height.

6. Mechanism The common mode of injury is fall on outstretched hands with dorsiflexion ranging from 40° to 90°(Average)

7. Clinical Feature Pain over the affected area. Swelling of the joint. Deformity- Dinner fork Deformity

8. Other Deformity includes Dorsal Angulation of Distal Fragment Dorsal Displacement of Distal Fragment Radial Deviation of the hand Supination Proximal Impaction.

9. Styloid Process test In general Radial Styloid process is lower than the ulnar styloid process but in displaced and coll e's fracture both will be at same level.

10. Radiograph- X ray of the Wrist. 1.Anterior Posterior view 2. Lateral view

11. Types of Colle's Fracture Open fracture : If the bone broke through your skin Comminuted fracture : If the bone broke into more than two pieces Intra-articular fracture : If the bone broke inside your wrist joint Extra-articular fracture : If your joint isn’t affected

12. Complications Early complication includes Swelling and Pain in the Finger Median Nerve compression Sundok's Atrophy Late Complication Malunion Non union of the ulnar styloid process. Rupture of the Extensor pollicislongus. Stiffness

13. Treatment Undisplaced Fracture- A dorsal Splint for 1-2 days to remove swelling and cast will be Placed for 4 week to stabilize joining.

14. Displaced Fracture – Reduction of the fracture under anesthesia and correct the Bone alignment. Then Dorsal Plaster Slab is applied.

15. Comminuted Fracture- Percutaneous K-wire fixation along with Plaster Immobilization. It then Remove after 5 weeks.

16. Physiotherapy Treatment  Main role of Physiotherapy is in rehabilitation Stage. 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  C ontinue After removal the cast - Mobilized the affected wrist - Start some strengthening exercise - Start weight bearing exercise Later stage Advance exercise ,full weight bearing exercise.

18. Prognosis Expected time for healing 6th to 8th weeks until the fracture is stable. Earlier treatment usually improves the result . Chronic disease such as - Osteoporosis and Diabetes may slow the healing time. End

19. Thank you Everybody for Quite Concentration.

20. Any Questions ?

21. Few Quarry towards you People  What is the common mode of injury ? 1. Throwing, 2. Fall on outstretched, 3. Weight lifting. When Physiotherapy is Required ? 1. At Early Stage 2. At Rehabilation Stage 3. Never.