![]() The answer to these questions will guide the surgeon on the best treatment plan. What is the quality of the bone is there evidence of osteoporosis.Have the pieces moved from where they should be and does the new position threaten the function of the wrist.How many pieces of bone has the fracture made, multiple fragments are called a comminuted fracture.Has it broken the skin, called an open fracture?.Does it extend into the joint an intra-articular fracture.There are several important aspects to a distal radial fracture which must be identified as they will determine treatment. You will then be asked to go to fracture clinic where the fracture will be assessed. Diagnosis is made on x-rays taken in the accident and emergency. There are two age groups who suffer a distal radial fracture those that occur in elderly patients with thin, osteoporotic bone who fall from a standing height and those that occur in young patients after a high energy injury.Ī broken wrist will be immediately painful with bruising, swelling and deformity. It is often referred to as a Colles fracture after an Irish surgeon and anatomist, Abraham Colles, in 1814 who first described the injury. It can also happen in a road traffic accident, skiing or other sports. It typically occurs after a fall onto an out stretched hand. The wrist end of the bone is called the distal end and is one of the most common sites for a fracture. There are 2 bones in the forearm the radius and the ulna. ![]()
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