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Colles fracture presentation
- 1. Welcome to myPresentation Which is the Part of Teaching Methodology
- 2. All about Myself FaysalAhammed BPT 5th Batch(4th year) Roll: 26 Institute of Health Technology. Under Faculty of Medicine University of Dhaka.
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- 4. Celle's fracture wasfirst described by Abraham colle'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 commonmode of injury is fall on outstretched hands with dorsiflexion ranging from 40° to 90°(Average)
- 7. Clinical Feature • Painover 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 colle's fracture both will be at same level.
- 10. Radiograph- X rayof the Wrist. 1.Anterior Posterior view 2. Lateral view
- 11. Types of Colle'sFracture • 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 Swellingand 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 • Mainrole of Physiotherapy is in rehabilitation Stage. • Objectives of rehabilitation Maintain joint range of motion Increase muscle strength Improve functional ability
- 17. Exercise Programme Duringreduction plaster cast – • Uninvolved joint active rang of motion • Wrist joint passive supination & pronation • Isometric hand muscle exercise 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.
- 18. Prognosis • Expected timefor 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 forQuite Concentration.
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- 21. Few Quarry towardsyou 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.