FRAKTUR COLLES – Download as Powerpoint Presentation .ppt), PDF File .pdf ), Text File .txt) or view presentation slides online. fr. colles. The Irish surgeon Abraham Colles described DRFs in the volume of the Edinburgh Medical Surgical Journal. Although his description. lokasi fraktur yang paling umum adalah di tangan dan melibatkan bagian distal dari tulang radius, bernama Fraktur Colles. Fraktur Colles adalah fraktur pada.
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The Radiology Assistant : Wrist – Fractures
The extensor carpi traktur tendon groove should be at the level of or radial to the base of the ulnar styloid. J Orthop Surg Hong Kong ; 10 1: Colles fractures are seen more frequently with advancing age and in women with osteoporosis. Physical activity has been shown to reduce fracture risk by increasing bone density 54 and improving mobility, which decreases the risk of falls.
With the evolution of the fixed-angle locking plate, there has been a change in the treatment of distal radius fractures in the elderly. A study looked at 60 fractures of the distal radius in a low-demand elderly population treated with anatomic reduction and cast immobilization. Internal fixation devices, however, have a much weaker hold in osteoporotic bone and are therefore more likely to loosen and lose fracture alignment. Colles 5 Case 5.
It should therefore be a functional cast, which should be relatively light and not hinder forearm rotation or finger movements. A retrospective comparative review of displaced intra-articular distal radial fractures in patients over 55 years.
In the elderly with unstable osteoporotic fractures, where cast immobilization is not being relied upon to control alignment, the primary role of the cast is for comfort and support.
After closed reduction collew at follow up after one week, there is an acceptable tilt. There is loss of radial inclination and radial shortening, dorsal tilt and an articular step-off. It is the result of a transverse load through the lunate. Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or older.
Functional outcomes after open reduction and internal fixation for treatment of displaced distal radius fractures in patients over 60 years of age. These fractures were considered a contraindication to percutaneous pin fixation.
Collees Disclosure The folles reports no conflict of interest in this work.
Colles fraktur – Wikipedia
Assessment of a wrist fracture must also include a description of the distal ulna and distal radioulnar joint 9. Conclusion As can be seen from the studies in this review, there remains no absolute consensus on the best method for treatment of distal radius fractures in the elderly.
Restorage of the anatomical frakfur is necessary to prevent growth disturbances. A fracture with an offset of 2 mm or more in any plane or 2 mm offset involving the articular surface is considered displaced. Acceptable functional end results in the majority of the patients despite significant secondary displacement. Configuration Always mention whether the fracture is transverse good prognosisoblique or comminuted multifragmented.
Conservative interventions for treating distal radial fractures in adults.
Wrist – Fractures
American Academy of Orthopaedic Surgeons. Dorsal tilt and dorsal or palmar displacement can be measured on the routine lateral X-ray. One of the more popular is the Frykman classification systemalthough it fails to distinguish between Smith and Colles fractures as it is based on AP radiographs colpes J Bone Joint Surg Am.
Bumper fracture Segond fracture Gosselin fracture Toddler’s fracture Pilon fracture Plafond fracture Tillaux fracture. The distal radial fracture in elderly women and the bone mineral density of the lumbar spine and fraktu.
Stabilization and treatment of Colles’ fractures in elderly patients
Clin Orthop Relat Res. The fracture fragment of the lunate fossa was replaced and fixated with a screw. Die-punch fracture A die-punch fracture is a depression fracture of the lunate fossa of the distal radius. Bone substitutes In elderly patients traktur osteoporosis, it is often difficult to fill the void left by impacted metaphyseal bone.