Treatment varies depending on your age and the extent of the injury. There is a need to ensure that the bones remain in place until the injury heals. Smith fractures are treated by putting the broken bones together in the correct order. You can have an X-ray done to see the severity of the fracture before you start discussing treatment options. Once you get there, the doctor will do a physical examination and ask how you feel and what you observed. If the pain feels unbearable and you cannot use the hand normally, you need to go to the emergency room. If you experience some numbness or have pink fingers, or your wrist is at an abnormal angle, you need to rush to the emergency room. You can do first aid and visit the doctor after a while. Diagnosis of Smith and Colles Fracturesįor Smith fractures, the pain is not very severe, and you still have a functioning wrist. Depending on the severity of the fracture, the wrist might be in an unnatural position. You will experience immediate pain, bruising, and swelling in the area and tenderness in the surrounding tissue.
Symptoms of Smith and Colles Fracturesīoth fractures have similar symptoms. For older adults, the fracture occurs due to falling when their bones are brittle.
The fracture is common among those between the ages of 18 and 25. It’s the most common fracture, and it generally occurs when you fall over an outstretched arm. The broken bone in the fracture usually points upward. When the bone breaks 1 inch from the wrist, it’s called a distal radius break. Smith fractures are rare and are most often seen in elderly women or young men.Ī Colles fracture is a broken wrist.
Smith fractures do not extend to the wrist, hence they are extra-articular. A Smith fracture is also associated with palmar angulation of the distal fragment. This is the larger radius in the two bones in the arm. In fractures with dorsal displacement of fragments, it is more difficult to restore volar tilt from a volar approach.Ĭolles fracture Smith fracture distal radius fracture radius.A Smith fracture occurs on the distal radius. In fractures of the distal radius, the type of displacement has no significant effect on the final outcome of surgical plate fixation. The only significant difference in the radiographic parameters investigated was in volar tilt, which was normal in the group of patients with Smith fractures (11°), whereas in the group with Colles fractures it was 5°.ġ. However, these differences were not statistically significant. The mean quickDASH score was 18.2 points for Colles fractures and 20.5 points for Smith fractures. The mean Mayo Wrist Score was 72.8 points for Colles fractures and 68.3 points for Smith fractures. Radiographic follow-up assessments included radial inclination, radial height, volar tilt and articular step-off. The results were evaluated using the quickDASH and Mayo Wrist Score. extension fracture).Ī group of 25 patients with Colles fractures and 25 patients with Smith fractures treated surgically in the years 2012-2013 was analysed retrospectively. The aim of the present study was to assess the effectiveness of surgical treatment of distal radial fractures following open reduction and fixation with an angle-stable plate in relation to the type of injury (flexion vs.
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